Bariatric surgery: Rhabdomyolysis after open Roux-en-Y gastric bypass: A prospective study

Abstract

After open bariatric surgery with RYGBP, the risk of RML increases in obese patients specially when BMI >56 kg/m(2). In such patients, CPK, which is an inexpensive easily done test, should be performed routinely to guarantee early diagnosis and consequently preventive treatment of RML complications.

Rhabdomyolysis After Major Urologic Surgery: Epidemiology, Risk Factors, and Outcomes

“…10,11 However, a much higher rate (23%-30%) has been reported in prospective studies in which routine postoperative serum creatine kinase levels were measured and RM was defined by a predefined serum creatine kinase level cutoff (1000-5000 IU/L, depending on the study), even in the absence of symptoms. 3,4,12 On multivariate analysis, male sex, younger age, and certain comorbidities (diabetes mellitus, CKD, and obesity) were independent risk factors for RM. Perioperative bleeding was also a risk factor for RM, even when controlling for comorbidity and procedure.…”

“…Some of the largest case series of postoperative RM, although relatively small with n ¼ 7-13, come from bariatric literature, where RM can be more common than in other surgical cohorts. 3,4 Similarly, analyses of RM after urologic procedures have been limited to case reports or relatively small single-or multi-institutional cohort studies. [5][6][7] To our knowledge, the largest study regarding RM included medical (n ¼ 1116), surgical (n ¼ 562), and traumatic (n ¼ 693) causes of RM with the goal of identifying a prognostic risk score for dialysis and mortality.…”

Rhabdomyolysis During Laparoscopic Hepatic Subsegmentectomy

“…Our patient was devoid of symptoms, and physical examination showed no sign of injury in those muscles. Strangely, the patient presented with the symptoms of rhabdomyolysis, 5 which are paresthesia, hypesthesia, and distal muscle weakness, such as decreased handgrip strength and decreased ability to perform wrist flexion and extension, in the right forearm muscles on the immediate postoperative evaluation. The forearm muscles are not the usual site of muscle injury in the supine position during surgery.…”

“…A prolonged surgical time especially with patients in the lithotomy or lateral decubitus position, 1,2 certain medications (such as statin, cyclosporin A, and colchicine), 3 and concomitant diseases [3][4][5] of patients are implicated in rhabdomyolysis. In liver transplantation cases, rhabdomyolysis has been reported in recipients.…”

Case report: Rhabdomyolysis in morbidly obese patients: anesthetic considerations

“…4 These patients may be clinically asymptomatic or manifest with muscular pain, numbness, distal muscle weakness, and meralgia paresthetica depending on the degree of muscle involvement. 5 Muscular pain is a predominant symptom in more than a third of patients with elevated serum CK. Mortality secondary to RML in the postoperative period has been rarely described after bariatric surgery.…”