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Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass (RYGB) is the most common weight loss procedure performed in the US. Gastric bypass–related hyperammonemia (GaBHA) is a potentially fatal entity, characterized by encephalopathy associated with hyperammonemia and various nutritional deficiencies, which can present at variabl...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6632496/ https://www.ncbi.nlm.nih.gov/pubmed/31355019 http://dx.doi.org/10.1155/2019/9031087 |
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author | Salcedo, Juan D. Goldstein, Jordan S. Quinonez, Jose M. Mosetti, Maria Antonietta |
author_facet | Salcedo, Juan D. Goldstein, Jordan S. Quinonez, Jose M. Mosetti, Maria Antonietta |
author_sort | Salcedo, Juan D. |
collection | PubMed |
description | Roux-en-Y gastric bypass (RYGB) is the most common weight loss procedure performed in the US. Gastric bypass–related hyperammonemia (GaBHA) is a potentially fatal entity, characterized by encephalopathy associated with hyperammonemia and various nutritional deficiencies, which can present at variable time intervals after RYGB. Twenty-five cases of hyperammonemic encephalopathy after bariatric surgery have been previously reported in the literature. We describe the case of a 48-year-old Hispanic woman with no prior history of liver disease, presenting with nonfatal hyperammonemic encephalopathy as a late postoperative complication 20 years after undergoing a RYGB. Hyperammonemic encephalopathy in the absence of known hepatic dysfunction presents a diagnostic dilemma. An early diagnosis and intervention are crucial to decrease morbidity and mortality. |
format | Online Article Text |
id | pubmed-6632496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-66324962019-07-28 Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass Salcedo, Juan D. Goldstein, Jordan S. Quinonez, Jose M. Mosetti, Maria Antonietta Case Rep Gastrointest Med Case Report Roux-en-Y gastric bypass (RYGB) is the most common weight loss procedure performed in the US. Gastric bypass–related hyperammonemia (GaBHA) is a potentially fatal entity, characterized by encephalopathy associated with hyperammonemia and various nutritional deficiencies, which can present at variable time intervals after RYGB. Twenty-five cases of hyperammonemic encephalopathy after bariatric surgery have been previously reported in the literature. We describe the case of a 48-year-old Hispanic woman with no prior history of liver disease, presenting with nonfatal hyperammonemic encephalopathy as a late postoperative complication 20 years after undergoing a RYGB. Hyperammonemic encephalopathy in the absence of known hepatic dysfunction presents a diagnostic dilemma. An early diagnosis and intervention are crucial to decrease morbidity and mortality. Hindawi 2019-07-01 /pmc/articles/PMC6632496/ /pubmed/31355019 http://dx.doi.org/10.1155/2019/9031087 Text en Copyright © 2019 Juan D. Salcedo et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Salcedo, Juan D. Goldstein, Jordan S. Quinonez, Jose M. Mosetti, Maria Antonietta Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title | Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title_full | Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title_fullStr | Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title_full_unstemmed | Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title_short | Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass |
title_sort | nonfatal hyperammonemic encephalopathy as a late complication of roux-en-y gastric bypass |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6632496/ https://www.ncbi.nlm.nih.gov/pubmed/31355019 http://dx.doi.org/10.1155/2019/9031087 |
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