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Obesity Surgery
Published in: Obesity Surgery 4/2020

01-04-2020 | Sleeve Gastrectomy | Brief Communication

Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery

Authors: Magda Zaarour, Ramona Zaharia, Marion Bretault, Christel Jublanc, Capucine De Marcellus, Jean-Luc Bouillot, Hervé Lefebvre, Jean-Michel Oppert, Judith Aron-Wisnewsky, Marie-Laure Raffin-Sanson

Published in: Obesity Surgery | Issue 4/2020

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Abstract

Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of laparoscopic revision of bariatric surgeries in two patients suffering from severe resistant hypocalcemia following cervical surgery, requiring in one case recombinant PTH administration and, in the other, daily intravenous calcium injections. The Roux-en-Y gastric bypass was switched to sleeve gastrectomy in the first patient, and in the second patient, the biliopancreatic diversion with duodenal switch was revised, to restore the upper and distal parts of the alimentary tract. Rapid improvement of hypocalcemia was observed in both cases.
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Metadata
Title
Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery
Authors
Magda Zaarour
Ramona Zaharia
Marion Bretault
Christel Jublanc
Capucine De Marcellus
Jean-Luc Bouillot
Hervé Lefebvre
Jean-Michel Oppert
Judith Aron-Wisnewsky
Marie-Laure Raffin-Sanson
Publication date
01-04-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 4/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04132-8

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