切换至 "中华医学电子期刊资源库"

中华肥胖与代谢病电子杂志 ›› 2019, Vol. 05 ›› Issue (02) : 114 -117. doi: 10.3877/cma.j.issn.2095-9605.2019.02.010

所属专题: 经典病例 文献

病例报告

腹腔镜下胃旁路修正术后高血氨血症性脑病1例报道并文献复习
褚薛慧1, 单晓东1, 孙园园1, 史宇泽1, 赵雅宽1, 邓玲1, 孙喜太1,()   
  1. 1. 210008 南京,南京大学医学院附属鼓楼医院普通外科
  • 收稿日期:2019-02-10 出版日期:2019-05-30
  • 通信作者: 孙喜太
  • 基金资助:
    南京市医学科技发展一般性项目"腹腔镜代谢手术治疗肥胖症伴2型糖尿病术前评分系统的初步构建"(YKK14066)

A case report of hyperammonemia encephalopathy after laparoscopic revisional gastric bypass and l iterature review

Xuehui Chu1, Xiaodong Shan1, Yuanyuan Sun1   

  • Received:2019-02-10 Published:2019-05-30
引用本文:

褚薛慧, 单晓东, 孙园园, 史宇泽, 赵雅宽, 邓玲, 孙喜太. 腹腔镜下胃旁路修正术后高血氨血症性脑病1例报道并文献复习[J]. 中华肥胖与代谢病电子杂志, 2019, 05(02): 114-117.

Xuehui Chu, Xiaodong Shan, Yuanyuan Sun. A case report of hyperammonemia encephalopathy after laparoscopic revisional gastric bypass and l iterature review[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2019, 05(02): 114-117.

图1 远端胃旁路术(DRYGB)手术示意图(摘自The ASMBS Textbook of Bariatric Surgery[21]
图2 患者入院后血氨水平变化
图3 患者术前(3A、3B、3C)及术后(3D、3E、3F)四肢水肿及皮肤色素沉着对比
[1]
Chooi YC, Ding C, Magkos F. The epidemiology of obesity[J]. Metabolism, 2019, 92: 6-10.
[2]
Ceriani V, Sarro G, Micheletto G, et al. Long-term mortality in obese subjects undergoing malabsorptive surgery (biliopancreatic diversion and biliointestinal bypass) versus medical treatment[J]. International journal of obesity (Lond), 2018 Nov 23.
[3]
Aminian A, Brethauer SA, Kirwan JP, et al. How safe is metabolic/diabetes surgery?[J]. Diabetes, Obesity and Metabolism, 2015, 17(2): 198-201.
[4]
Schulman AR, Thompson CC. Complications of Bariatric Surgery: What You Can Expect to See in Your GI Practice[J]. American Journal of Gastroenterology, 2017, 112(11): 1640-1655.
[5]
Malinowski SS. Nutritional and metabolic complications of bariatric surgery[J]. American Journal of the Medical Sciences, 2006, 331(4): 219-225.
[6]
McCracken E, Wood GC, Prichard W, et al. Severe anemia after Roux-en-Y gastric bypass: a cause for concern[J]. Surgery for Obesity and Related Diseases. 2018, 14(7): 902-909.
[7]
Madsen LR, Espersen R, Ornstrup MJ, et al. Bone Health in Patients with Type 2 Diabetes Treated by Roux-En-Y Gastric Bypass and the Role of Diabetes Remission[J]. Obesity Surgery, 2019.
[8]
Ahmad A, Kornrich DB, Krasner H, et al. Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass[J]. Obesity Surgery, 2019.
[9]
Dirani M, Chahine E, Dirani M, et al. More than a Case Report? Should Wernicke Encephalopathy After Sleeve Gastrectomy be a Concern?[J]. Obesity Surgery, 2017, 27(10): 2684-2687.
[10]
Borreggine KL, Hosker DK, Rummans TA, et al. Psychiatric Manifestations of Hyperammonemic Encephalopathy Following Roux-en-Y Gastric Bypass[J]. Psychosomatics, 2018, 59(1): 90-94.
[11]
Nagarur A, Fenves AZ. Late presentation of fatal hyperammonemic encephalopathy after Roux-en-Y gastric bypass[J]. Proceedings (Baylor University. Medical Center), 2017, 30(1): 41-43.
[12]
Acharya G, Mehra S, Patel R, et al. Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery[J]. Case Reports in Critical Care. 2016, 2016: 1-6.
[13]
Fenves AZ, Shchelochkov OA, Mehta A. Hyperammonemic syndrome after Roux-en-Y gastric bypass[J]. Obesity (Silver Spring), 2015, 23(4): 746-749.
[14]
Kromas ML, Mousa OY, John S. Hyperammonemia-induced encephalopathy: A rare devastating complication of bariatric surgery[J]. World Journal of Hepatology, 2015, 7(7): 1007-1011.
[15]
Yarandi SS, Griffith DP, Sharma R, et al. Optic neuropathy, myelopathy, anemia, and neutropenia caused by acquired copper deficiency after gastric bypass surgery[J]. Journal of Clinical Gastroenterology, 2014, 48(10): 862-865.
[16]
Majumder S, Soriano J, Louie Cruz A, et al. Vitamin B12 deficiency in patients undergoing bariatric surgery: preventive strategies and key recommendations[J]. Surgery for Obesity and Related Diseases, 2013, 9(6): 1013-1019.
[17]
Tang L, Alsulaim HA, Canner JK, et al. Prevalence and predictors of postoperative thiamine deficiency after vertical sleeve gastrectomy[J]. Surgery for Obesity and Related Diseases, 2018, 14(7): 943-950.
[18]
Oudman E, Wijnia JW, van Dam M, et al. Preventing Wernicke Encephalopathy After Bariatric Surgery[J]. Obesity Surgery. 2018, 28(7): 2060-2068.
[19]
Estrella J, Yee G, Wilcken B, et al. Hyperammonemic encephalopathy complicating bariatric surgery: a case study and review of the literature[J]. Surgery for Obesity and Related Diseases, 2014, 10(3): e35-e38.
[20]
Rogal SS, Hu A, Bandi R, et al. Novel therapy for non-cirrhotic hyperammonemia due to a spontaneous splenorenal shunt[J]. World Journal of Gastroenterology, 2014, 20(25): 8288-8291.
[21]
Nguyen NT, Blackstone RP, Morton JM, et al. The ASMBS Textbook of Bariatric Surgery, 2015(1): 314-315.
[1] 张晓燕, 肖东琼, 高沪, 陈琳, 唐发娟, 李熙鸿. 转录因子12过表达对脓毒症相关性脑病大鼠大脑皮质的保护作用及其机制[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(05): 540-549.
[2] 刘建勇, 杨芳, 吕立志, 江艺, 蔡秋程. 肝移植治疗Ⅳ级肝昏迷疗效及其影响因素分析[J]. 中华肝脏外科手术学电子杂志, 2024, 13(03): 344-349.
[3] 孔维萍, 张刘波, 刘坚, 张卓莉, 于峰, 刘玉宁, 吴庆军, 王金平, 杨悦, 陶庆文, 谢院生. 系统性红斑狼疮及其主要脏器损害的中西医结合诊治[J]. 中华肾病研究电子杂志, 2024, 13(01): 9-15.
[4] 张卓媛, 杨二万, 田志成, 包明冬, 罗鹏. 慢性创伤性脑病的研究新进展[J]. 中华神经创伤外科电子杂志, 2023, 09(06): 360-366.
[5] 张钊龙, 郑卉, 赵丹阳, 赵悰怡, 刘之琪, 张优佳, 秦秉玉. 趋化因子CXC配体13在中枢神经系统感染中的意义及相关研究进展[J]. 中华重症医学电子杂志, 2024, 10(01): 54-59.
[6] 胡霁云, 谢树才, 张丽娜. S100钙结合蛋白B与重症神经研究进展[J]. 中华重症医学电子杂志, 2023, 09(03): 298-303.
[7] 惠泉, 孙方昱, 赵欣, 许青, 李奕, 陈建雄, 吴立, 郑伟燕. 急性间歇性卟啉病HMBS基因新发缺失突变一例[J]. 中华临床医师杂志(电子版), 2024, 18(05): 507-511.
[8] 李变, 王莉娜, 桑田, 李珊, 杜雪燕, 李春华, 张兴云, 管巧, 王颖, 冯琪, 蒙景雯. 亚低温技术治疗缺氧缺血性脑病新生儿的临床分析[J]. 中华临床医师杂志(电子版), 2023, 17(06): 639-643.
[9] 邵小桐, 张琦昱, 马惠军, 徐蕾, 赵晓慧, 牛洪涛. 功能磁共振对经颈静脉肝内门体分流术术前轻微肝性脑病诊断的研究进展[J]. 中华介入放射学电子杂志, 2024, 12(02): 171-175.
[10] 中国医师协会外科医师分会肥胖和糖尿病外科专家工作组. 减重手术相关贫血管理策略中国专家共识(2024版)[J]. 中华肥胖与代谢病电子杂志, 2024, 10(01): 1-8.
[11] 张金山, 董志勇, 杨景哥, 关炳生, 胡瑞翔, 胡嵩浩, 姜舒文, 陈文辉, 杨华, 王存川. 腹腔镜袖状胃切除术后胃漏的预防和治疗策略:单中心14例分析[J]. 中华肥胖与代谢病电子杂志, 2023, 09(04): 231-236.
[12] 董志勇, 王存川. 2022年《ASMBS/IFSO减重与代谢手术适应证指南》解读[J]. 中华肥胖与代谢病电子杂志, 2023, 09(04): 225-230.
[13] 汪赓, 夏泽锋, 陶凯雄. 代谢手术在非肥胖型2型糖尿病中的治疗效果及研究进展[J]. 中华肥胖与代谢病电子杂志, 2023, 09(03): 155-160.
[14] 由伟, 魏卓奇, 陈文辉, 董志勇, 杨华, 王存川. 腹腔镜细长胃囊Roux-en-Y胃旁路手术治疗重度肥胖症一例报道[J]. 中华肥胖与代谢病电子杂志, 2023, 09(03): 218-223.
[15] 周慧慧, 石洁, 陶晶晶. 探讨基于云平台的个案追踪管理在新生儿缺氧缺血性脑病出院后的应用[J]. 中华脑血管病杂志(电子版), 2023, 17(06): 591-595.
阅读次数
全文


摘要