Bariatrik Cerrahi Sonrasında Lityum Düzeyi Etkilenir mi?

Abstract

Introduction: In patients with medication for chronic illnesses, using medications for chronic illnesses, the doses of drugs should be adjusted before bariatric surgery. Studies investigating the pharmacokinetics of the oral drugs used after bariatric surgery are limited. We will present a young bipolar male obese patient who should continue to use lithium after bariatric surgery.Case: Twenty-six-year-old male was applied to our clinics with the complaint of weight gain of 20 kg in a year. This patient was reported to have taken risperidone 2 mg tb 1x1 and lithium capsule 1x3 due to bipolar disorder (BPD). Also, the patient who had previously been diagnosed with asthma did not take any inhaler medication for it. On physical examination; body weight was 195 kg, height 184 cm, body mass index 57.5 kg/m 2 and vital findings were stable. Respiratory examination revealed rhonchus, and the examination of other organ systems was unremarkable. Laboratory evaluation revealed that glucose was 480 mg/dL, creatinine: 0.