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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/9031087 |
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| author | Juan D. Salcedo Jordan S. Goldstein Jose M. Quinonez Maria Antonietta Mosetti |
| author_facet | Juan D. Salcedo Jordan S. Goldstein Jose M. Quinonez Maria Antonietta Mosetti |
| author_sort | Juan D. Salcedo |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-c4105229b2c54bfd9544a8cb10398988 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-c4105229b2c54bfd9544a8cb103989882025-02-03T01:11:33ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/90310879031087Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric BypassJuan D. Salcedo0Jordan S. Goldstein1Jose M. Quinonez2Maria Antonietta Mosetti3Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USADepartment of Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USAUniversity of Miami Miller School of Medicine, Miami, FL, USADivision of Hospital Medicine, University of Miami Medical Towers, University of Miami Miller School of Medicine, Miami, FL, USARoux-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.http://dx.doi.org/10.1155/2019/9031087 |
| spellingShingle | Juan D. Salcedo Jordan S. Goldstein Jose M. Quinonez Maria Antonietta Mosetti Nonfatal Hyperammonemic Encephalopathy as a Late Complication of Roux-en-Y Gastric Bypass Case Reports in Gastrointestinal Medicine |
| 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 |
| url | http://dx.doi.org/10.1155/2019/9031087 |
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