Top

Published in:

01-01-2021 | Gastrostomy | Letter to the Editor

Starving for Oxygen: a Case Report of Severe Malnutrition Following Roux-en-Y Gastric Bypass Surgery Resulting in Acute Lower Extremity Ischemia

Authors: Shogik Abramyan, Pratibha Vemulapalli, Melanie H. Howell

Published in: Obesity Surgery | Issue 1/2021

Excerpt

Laparoscopic Roux-en-Y gastric bypass (RYGB) surgery has been safely performed since the 1990s and results in weight loss that translates into a myriad of improvements in comorbid conditions [1]. In 2019, a multicenter study looked at early and late complications after sleeve gastrectomy and RYGB and found that more than 90% of patients had an uneventful postoperative course up to 90 days after surgery [2]. Therefore, when a patient does require readmission, this should be viewed as an anomaly. Here, we discuss a patient whose early complications alerted her care team to the potential harm that was to follow. …

Higa K. Chapter 15: “Laparoscopic gastric bypass: techniques and outcomes.”. In: The ASMBS Textbook of Bariatric Surgery, vol. I; 2015. p. 190–1.

Gero D, Raptis DA, Vleeschouwers W, et al. Defining global benchmarks in bariatric surgery: a retrospective multicenter analysis of minimally invasive roux-en-Y gastric bypass and sleeve gastrectomy. Ann Surg. 2019;270(5):859–67.CrossRef

Barbano B, Gigante A, Amoroso A, et al. Thrombosis in nephrotic syndrome. Semin Thromb Hemost. 2013;39:469–76.CrossRef

Ross R. Atherosclerosis – an inflammatory disease. N Engl J Med. 1999;340:115–26.CrossRef

Raybaud G, Lambert M, Douillard C, et al. Acute arterial thrombosis in a context of hyperhomocysteinemia: case report and literature review. Rev Med Interne. 2016;37:849–53.CrossRef

Sauls DL, Arnold EK, Bell CW, et al. Pro-thrombotic and pro-oxidant effects of diet-induced hyperhomocysteinemia. Thromb Res. 2007;120:117–26.CrossRef

Vega de Ceniga M, Bravo E, Izagirre M, et al. Anemia, Iron and vitamin deficits in patients with peripheral arterial disease. Eur J Vasc Endovasc Surg. 2011;41:828–30.CrossRef

Rapson IR, Michos ED, Alonso A, et al. Serum 25-hydroxyvitamin D is associated with incident peripheral artery disease among white and black adults in the ARICs study cohort. Atherosclerosis. 2017;257:123–9.CrossRef

Nsengiyumva V, Fernando ME, Moxon JV, et al. The association of circulating 25-hydroxyvitamin D concentration with peripheral arterial disease: a meta-analysis of observational studies. Atherosclerosis. 2015;243:645–51.CrossRef

10.

Parrott J, Frank L, Rabena R, et al. American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the surgical weight loss patient 2016 update: micronutrients. Surg Obes Relat Dis. 2017;13(5):727–41.CrossRef

Title: Starving for Oxygen: a Case Report of Severe Malnutrition Following Roux-en-Y Gastric Bypass Surgery Resulting in Acute Lower Extremity Ischemia
Authors: Shogik Abramyan
Pratibha Vemulapalli
Melanie H. Howell
Publication date: 01-01-2021
Publisher: Springer US
Keywords: Gastrostomy
Malnutrition
Published in: Obesity Surgery / Issue 1/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04823-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Starving for Oxygen: a Case Report of Severe Malnutrition Following Roux-en-Y Gastric Bypass Surgery Resulting in Acute Lower Extremity Ischemia

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2021

Gastrojejunal Anastomotic Technique. Does It Matter? Weight Loss and Weight Regain 5 Years After Laparoscopic Roux-en-Y Gastric Bypass

A Curious Case of a Staple Line Leak Presenting 18 Months After Sleeve Gastrectomy: Our Management Approach

Transversus Abdominis Plane Block in Laparoscopic Bariatric Surgery—a Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effects of Perioperative Cannabis Use on Bariatric Surgical Outcomes: a Systematic Review

Assessment of the Correlation Between Weight Status and the Frequency of Dietician Interviews in Sleeve Gastrectomy Patients

Lies, Damn Lies, and Bad Statistics?