Lithium toxicity following bariatric surgery

A patient with morbid obesity and several psychiatric comorbidities underwent laparoscopic sleeve gastrectomy and experienced success with weight loss. However, she experienced lightheadedness, nausea, and a fall and was admitted to the hospital for encephalopathy due to lithium toxicity. The pharma...

Descripción completa

Detalles Bibliográficos
Autores principales: Jamison, Suzanna Connick, Aheron, Kelley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491210/
https://www.ncbi.nlm.nih.gov/pubmed/32974026
http://dx.doi.org/10.1177/2050313X20953000
_version_ 1783582175299371008
author Jamison, Suzanna Connick
Aheron, Kelley
author_facet Jamison, Suzanna Connick
Aheron, Kelley
author_sort Jamison, Suzanna Connick
collection PubMed
description A patient with morbid obesity and several psychiatric comorbidities underwent laparoscopic sleeve gastrectomy and experienced success with weight loss. However, she experienced lightheadedness, nausea, and a fall and was admitted to the hospital for encephalopathy due to lithium toxicity. The pharmacokinetics of lithium is altered following bariatric surgery. Due to these factors, adjustments were made to the patient’s lithium therapy, her levels were subsequently reduced into the therapeutic range, and she continued with no further issues. Mechanisms of lithium toxicity following bariatric surgery and a monitoring protocol to prevent toxicity are discussed.
format Online
Article
Text
id pubmed-7491210
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-74912102020-09-23 Lithium toxicity following bariatric surgery Jamison, Suzanna Connick Aheron, Kelley SAGE Open Med Case Rep Case Report A patient with morbid obesity and several psychiatric comorbidities underwent laparoscopic sleeve gastrectomy and experienced success with weight loss. However, she experienced lightheadedness, nausea, and a fall and was admitted to the hospital for encephalopathy due to lithium toxicity. The pharmacokinetics of lithium is altered following bariatric surgery. Due to these factors, adjustments were made to the patient’s lithium therapy, her levels were subsequently reduced into the therapeutic range, and she continued with no further issues. Mechanisms of lithium toxicity following bariatric surgery and a monitoring protocol to prevent toxicity are discussed. SAGE Publications 2020-09-10 /pmc/articles/PMC7491210/ /pubmed/32974026 http://dx.doi.org/10.1177/2050313X20953000 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Jamison, Suzanna Connick
Aheron, Kelley
Lithium toxicity following bariatric surgery
title Lithium toxicity following bariatric surgery
title_full Lithium toxicity following bariatric surgery
title_fullStr Lithium toxicity following bariatric surgery
title_full_unstemmed Lithium toxicity following bariatric surgery
title_short Lithium toxicity following bariatric surgery
title_sort lithium toxicity following bariatric surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491210/
https://www.ncbi.nlm.nih.gov/pubmed/32974026
http://dx.doi.org/10.1177/2050313X20953000
work_keys_str_mv AT jamisonsuzannaconnick lithiumtoxicityfollowingbariatricsurgery
AT aheronkelley lithiumtoxicityfollowingbariatricsurgery

Ejemplares similares