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Bariatric surgery in a patient with cystinuria

We recently encountered concern about the safety of bariatric surgery for a patient with cystinuria. Bariatric surgery procedures include those that cause malabsorption, like the Roux-en-Y gastric bypass procedure, and restrictive operations, such as the sleeve gastrectomy. These procedures produce...

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Autores principales: Nemati, Melissa R., Harris, Peter C., Cogal, Andrea G., Goldfarb, David S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dustri-Verlag Dr. Karl Feistle 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111402/
https://www.ncbi.nlm.nih.gov/pubmed/33981533
http://dx.doi.org/10.5414/CNCS110496
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author Nemati, Melissa R.
Harris, Peter C.
Cogal, Andrea G.
Goldfarb, David S.
author_facet Nemati, Melissa R.
Harris, Peter C.
Cogal, Andrea G.
Goldfarb, David S.
author_sort Nemati, Melissa R.
collection PubMed
description We recently encountered concern about the safety of bariatric surgery for a patient with cystinuria. Bariatric surgery procedures include those that cause malabsorption, like the Roux-en-Y gastric bypass procedure, and restrictive operations, such as the sleeve gastrectomy. These procedures produce beneficial effects on health and life expectancy, though whether kidney stones are prevented, as well as promoted, is not established. Although the importance of body weight to metabolic stone activity in patients with cystinuria is not established, the patient’s physicians were concerned about whether any bariatric surgery procedure would affect her ability to drink sufficient quantities of water in order to reduce stone activity. Here we report the experience of a genetically defined patient with cystinuria who underwent a gastric sleeve procedure. In the months after the procedure, she lost 45 kg, though with time she regained 23 kg of that loss. She was able to maintain a urine volume of 4.0 L per day and has had no stone recurrence.
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spelling pubmed-81114022021-05-11 Bariatric surgery in a patient with cystinuria Nemati, Melissa R. Harris, Peter C. Cogal, Andrea G. Goldfarb, David S. Clin Nephrol Case Stud Case Report We recently encountered concern about the safety of bariatric surgery for a patient with cystinuria. Bariatric surgery procedures include those that cause malabsorption, like the Roux-en-Y gastric bypass procedure, and restrictive operations, such as the sleeve gastrectomy. These procedures produce beneficial effects on health and life expectancy, though whether kidney stones are prevented, as well as promoted, is not established. Although the importance of body weight to metabolic stone activity in patients with cystinuria is not established, the patient’s physicians were concerned about whether any bariatric surgery procedure would affect her ability to drink sufficient quantities of water in order to reduce stone activity. Here we report the experience of a genetically defined patient with cystinuria who underwent a gastric sleeve procedure. In the months after the procedure, she lost 45 kg, though with time she regained 23 kg of that loss. She was able to maintain a urine volume of 4.0 L per day and has had no stone recurrence. Dustri-Verlag Dr. Karl Feistle 2021-05-07 /pmc/articles/PMC8111402/ /pubmed/33981533 http://dx.doi.org/10.5414/CNCS110496 Text en © Dustri-Verlag Dr. K. Feistle https://creativecommons.org/licenses/by/2.5/This is an open-access article distributed under the terms of 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
Nemati, Melissa R.
Harris, Peter C.
Cogal, Andrea G.
Goldfarb, David S.
Bariatric surgery in a patient with cystinuria
title Bariatric surgery in a patient with cystinuria
title_full Bariatric surgery in a patient with cystinuria
title_fullStr Bariatric surgery in a patient with cystinuria
title_full_unstemmed Bariatric surgery in a patient with cystinuria
title_short Bariatric surgery in a patient with cystinuria
title_sort bariatric surgery in a patient with cystinuria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111402/
https://www.ncbi.nlm.nih.gov/pubmed/33981533
http://dx.doi.org/10.5414/CNCS110496
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