Rhabdomyolysis After Bariatric Surgery by Roux-en-Y Gastric Bypass: A Prospective Study

Oliveira, Luciana M.; Diniz, Marco Túlio Costa; Diniz, Maria de Fátima Haueisen Sander; Savassi-Rocha, Alexandre Lages; Camargos, Sarah Teixeira; Cardoso, Francisco

doi:10.1007/s11695-008-9780-8

Cited by 38 publications

(21 citation statements)

References 36 publications

(91 reference statements)

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“…Bariatric surgery should be performed in morbidly obese individuals or in subjects with comorbidities. Importantly, surgical interventions can often cause rhabdomyolysis [59] and hyperoxaluria, with increased risk of renal stone formation [60] and even oxalate nephropathy [61]. Rhabdomyolysis and nephrolithiasis are major risk factors for the development of acute kidney injury, whereas oxalate nephropathy can lead to CKD and ESRD.…”

Section: Discussionmentioning

confidence: 99%

Management of Obesity-Induced Kidney Disease: A Critical Review of the Literature

Kiortsis¹,

Christou²

2012

Obes Facts

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It is well established that obesity is a risk factor for the development of chronic kidney disease (CKD) and may promote the progression to end stage renal disease (ESRD). Therefore, it is strongly suggested that reduction of body weight can be an important intervention in order to reduce the prevalence of renal impairment. The current article describes extensively the already published trials which have studied the association between weight loss and kidney disease. The weight management programs include surgical and non-surgical interventions (low-calorie diet, aerobic exercise, drug-induced weight loss, combination treatment). The focus has been placed on the following renal function markers: albuminuria, proteinuria, glomerular filtration rate (GFR), and creatinine clearance. This review also aims to clarify challenges that clinicians have to deal with in everyday practice regarding the management of obesity-induced kidney disease (degree of weight loss, duration of the weight loss program, early initiation of the intervention).

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Section: Discussionmentioning

confidence: 99%

Management of Obesity-Induced Kidney Disease: A Critical Review of the Literature

Kiortsis¹,

Christou²

2012

Obes Facts

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“…Long operating times remain a particular concern for the obese population, in which the risk of complications such as atrial fibrillation, pulmonary embolism, deep venous thrombosis (DVT), and rhabdomyolysis may be increased [24][25][26][27][28][29][30][31]. The risk of atrial fibrillation may be increased by 50%, whereas the reported relative risk of DVT and pulmonary embolism is as high as 3.0, increasing further for patients with a BMI greater than 40 kg/m 2 [30,31].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study

et al. 2010

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“…Most papers on the subject report polyneuropathy and mononeuropathies, Wernicke's encephalopathy, Guillain-Barré syndrome, behavioral abnormalities, seizures, cranial nerve palsies, ataxia, myelopathy, plexopathies, myopathy, myotonia and rhabdomyolysis [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] . The present study adds a list of Brazilian cases showing several forms of neurological complications from bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Neurological complications following bariatric surgery

Fragoso

Alves-Leon

Anacleto

et al. 2012

Arq. Neuro-Psiquiatr.

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Objective: It was to report on Brazilian cases of neurological complications from bariatric surgery. The literature on the subject is scarce. Method: Cases attended by neurologists in eight different Brazilian cities were collected and described in the present study. Results: Twenty-six cases were collected in this study. Axonal polyneuropathy was the most frequent neurological complication, but cases of central demyelination, Wernicke syndrome, optical neuritis, radiculits, meralgia paresthetica and compressive neuropathies were also identified. Twenty-one patients (80%) had partial or no recovery from the neurological signs and symptoms. Conclusion: Bariatric surgery, a procedure that is continuously increasing in popularity, is not free of potential neurological complications that should be clearly presented to the individual undergoing this type of surgery. Although a clear cause-effect relation cannot be established for the present cases, the cumulative literature on the subject makes it important to warn the patient of the potential risks of this procedure.Key words: bariatric surgery, demyelination, neuropathy, Wenicke syndrome. RESUMOObjetivo: Foi relatar casos de pacientes brasileiros com complicações neurológicas da cirurgia bariátrica. A literatura no assunto é escassa. Método: Foram reunidos e descritos casos atendidos por neurologistas em oito cidades brasileiras diferentes. Resultados: Vinte e seis casos foram coletados neste estudo. A complicação neurológica mais frequente foi a polineuropatia axonal, mas também foram identificados casos de desmielinização central, síndrome de Wernicke, neurite óptica, radiculites, meralgia parestésica e neuropatias compressivas. Vinte e um pacientes (80%) não tiveram recuperação ou tiveram apenas recuperação parcial dos sinais e sintomas neurológicos. Conclusão: A cirurgia bariátrica, procedimento cada vez mais popularizado, não está livre de potenciais complicações neurológicas as quais deveriam ser claramente expostas aos indivíduos que a ela se submetem. Embora não possa ser estabelecida uma clara relação causa-efeito entre essa cirurgia e os sinais e sintomas referidos nos casos aqui apresentados, a literatura consultada mostrou ser importante alertar o indivíduo acerca dos riscos potenciais envolvidos nesse procedimento.Palavras-Chave: cirurgia bariátrica, desmielinização, neuropatia, síndrome de Wenicke.

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Rhabdomyolysis After Bariatric Surgery by Roux-en-Y Gastric Bypass: A Prospective Study

Abstract: The results of this study are similar to few other investigations and confirm that RML in open bariatric surgery with RYGBP (Capella) is a common complication. A longer surgical time can be involved in RML pathogenesis, and muscular pain is suggestive of RML occurrence.

Cited by 38 publications

References 36 publications

Management of Obesity-Induced Kidney Disease: A Critical Review of the Literature

Management of Obesity-Induced Kidney Disease: A Critical Review of the Literature

Laparoscopic versus open appendectomy for the obese patient: a subset analysis from a prospective, randomized, double-blind study

Neurological complications following bariatric surgery

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