Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome

The rise in metabolic surgeries for obesity has increased concerns regarding post-surgical alcohol use disorder (AUD). We present a case of a 51-year-old woman who developed AUD and subsequent alcohol-related cirrhosis after Roux-en-Y gastric bypass surgery. Her sensitivity to alcohol heightened aft...

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Main Authors: Jenna M. Davison, James F. Howick V, Neel Shah
Format: Article
Language:English
Published: American College of Physicians 2024-08-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0290
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author Jenna M. Davison
James F. Howick V
Neel Shah
author_facet Jenna M. Davison
James F. Howick V
Neel Shah
author_sort Jenna M. Davison
collection DOAJ
description The rise in metabolic surgeries for obesity has increased concerns regarding post-surgical alcohol use disorder (AUD). We present a case of a 51-year-old woman who developed AUD and subsequent alcohol-related cirrhosis after Roux-en-Y gastric bypass surgery. Her sensitivity to alcohol heightened after surgery, leading to addiction. Despite treatment attempts, she developed complications, including hepatic encephalopathy and hepatorenal syndrome, ultimately necessitating hemodialysis. The case underscores the complex interplay between bariatric surgery, AUD, and cirrhosis, exacerbated during the COVID-19 pandemic. Heightened awareness of AUD after bariatric surgery and its complications, including hepatorenal syndrome, is crucial for comprehensive patient care amidst rising rates of obesity and alcohol misuse.
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-014acbf9f1a64e7e9306a4e35babff6a2025-08-20T02:27:29ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-08-013810.7326/aimcc.2024.0290Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal SyndromeJenna M. Davison0James F. Howick V1Neel Shah21Mayo Clinic, Rochester, Minnesota1Mayo Clinic, Rochester, Minnesota1Mayo Clinic, Rochester, MinnesotaThe rise in metabolic surgeries for obesity has increased concerns regarding post-surgical alcohol use disorder (AUD). We present a case of a 51-year-old woman who developed AUD and subsequent alcohol-related cirrhosis after Roux-en-Y gastric bypass surgery. Her sensitivity to alcohol heightened after surgery, leading to addiction. Despite treatment attempts, she developed complications, including hepatic encephalopathy and hepatorenal syndrome, ultimately necessitating hemodialysis. The case underscores the complex interplay between bariatric surgery, AUD, and cirrhosis, exacerbated during the COVID-19 pandemic. Heightened awareness of AUD after bariatric surgery and its complications, including hepatorenal syndrome, is crucial for comprehensive patient care amidst rising rates of obesity and alcohol misuse.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0290
spellingShingle Jenna M. Davison
James F. Howick V
Neel Shah
Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
Annals of Internal Medicine: Clinical Cases
title Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
title_full Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
title_fullStr Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
title_full_unstemmed Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
title_short Alcohol Use Disorder Following Bariatric Surgery Leading to Cirrhosis and Hepatorenal Syndrome
title_sort alcohol use disorder following bariatric surgery leading to cirrhosis and hepatorenal syndrome
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.0290
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AT jamesfhowickv alcoholusedisorderfollowingbariatricsurgeryleadingtocirrhosisandhepatorenalsyndrome
AT neelshah alcoholusedisorderfollowingbariatricsurgeryleadingtocirrhosisandhepatorenalsyndrome