Late presentation of fatal hyperammonemic encephalopathy after Roux-en-Y gastric bypass.
Worldwide, there have been <25 reported cases of hyperammonemic encephalopathy associated with Roux-en-Y gastric bypass surgery in the absence of cirrhosis. We describe a 42-year-old woman who presented with subacute but progressive neurological decline late in her postoperative course, which deteri...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 30; no. 1; pp. 41 - 44 |
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| Autores principales: | , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120161579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120161579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: 2017 vid: 30 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 120161579 120161579 120161579 10.1080/08998280.2017.11929521 120161579 ppf: 41 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Late presentation of fatal hyperammonemic encephalopathy after Roux-en-Y gastric bypass. aug: au: Nagarur, Amulya Fenves, Andrew Z. affil: Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts sug: subj: Gastric Bypass Ammonia Blood Bariatric Surgery Surgery, Operative Plasma Ammonia Weights and Measures Female Adult Adult: 19-44 years Female ab: Worldwide, there have been <25 reported cases of hyperammonemic encephalopathy associated with Roux-en-Y gastric bypass surgery in the absence of cirrhosis. We describe a 42-year-old woman who presented with subacute but progressive neurological decline late in her postoperative course, which deteriorated despite multiple conservative and aggressive measures, including hemodialysis, in an attempt to reduce measured plasma ammonia levels. This syndrome of hyperammonemic encephalopathy represents a serious, underrecognized, and potentially treatable complication after Roux-en-Y gastric bypass. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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