Liver abscess as a complication of Gastric Roux Y Bypass: Case report
DOI:
https://doi.org/10.33448/rsd-v12i12.43853Keywords:
Bariatric Surgery; Liver Abscess; Gastric bypass.Abstract
Obesity has been presented as a disease associated with high morbidity, due to the involvement of obesity per se, and the worsening of other associated morbidities such as type 2 Diabetes Mellitus, systemic arterial hypertension, dyslipidemia, coronary heart disease, obstructive sleep apnea, psychiatric disorders within others. Obesity treatment begins with lifestyle changes, physical activity, nutritional support; and can extend to support with a team of medical specialties, such as endocrinology. Despite the multidisciplinary nature of the initial treatment, the number of patients who are unsuccessful in losing weight and consequently improving their morbidity and quality of life is significant. As an additional therapy in these cases, bariatric surgery has emerged as a procedure that is gaining ground. The proposed surgeries present different mechanisms to obtain the final result, including malabsorptive, restrictive and mixed. Regardless of the surgical procedure proposed, there is always the possibility of intra-operative or post-operative complications; These include liver abscesses, surgical wound infections, hemorrhages and fistulas in the digestive system. This case report purpose is to report a rare case of liver abscess after a laparoscopic bariatric surgery.
References
ABESO. (2016). Diretrizes brasileiras de obesidade 2016 / ABESO - Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. https://abeso.org.br/wp-content/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf
Acquafresca, P. A., Palermo, M., Rogula, T., Duza, G. E., & Serra, E. (2015). Early surgical complications after gastric by-pass: a literature review. Brazilian archives of digestive surgery, 28(1), 74–80. https://doi.org/10.1590/s0102-67202015000100019
Ahmed, M., Alam, J., Hussain, S., & Aslam, M. (2021). Prospective randomized comparative study of percutaneous catheter drainage and percutaneous needle aspiration in the treatment of liver abscess. ANZ Journal of Surgery, 91(3). https://doi.org/10.1111/ans.16461
Alves, M.P., Vieira de Souza, C., & Barros de Souza Moreira Reis, L. (2022). Cirurgia metabólica/bariátrica para pacientes com diabetes tipo 2, terapia convencional, intervenções cirúrgicas, técnicas utilizadas, alterações hormonais e alimentares após o procedimento: uma revisão integrativa. Health Residencies Journal - HRJ, 3(15), 442–460. https://doi.org/10.51723/hrj.v3i15.453
Azevedo, F. R., & Brito, B.C. (2012). Influência das variáveis nutricionais e da obesidade sobre a saúde e o metabolismo. Revista da Associacao Medica Brasileira (1992), 58(6), 714–723. https://doi.org/10.1590/s0104-42302012000600018
Bachler, P., Baladron, M. J., Menias, C., Beddings, I., Loch, R., Zalaquett, E., Vargas, M., Connolly, S., Bhalla, S., & Huete, Á. (2016). Multimodality imaging of liver infections: Differential diagnosis and potential pitfalls. Radiographics: A Review Publication of the Radiological Society of North America, Inc, 36(4), 1001–1023. https://doi.org/10.1148/rg.2016150196
Brasil. Ministério da Saúde (2020). Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019 (1o ed). Editora MS. http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2019_vigilancia_fatores_risco.pdf
Eisenberg, D., Shikora, S. A., Aarts, E., Aminian, A., Angrisani, L., Cohen, R. V., De Luca, M., Faria, S. L., Goodpaster, K. P. S., Haddad, A., Himpens, J. M., Kow, L., Kurian, M., Loi, K., Mahawar, K., Nimeri, A., O’Kane, M., Papasavas, P. K., Ponce, J., & Kothari, S. N. (2022). 2022 American society for metabolic and bariatric surgery (ASMBS) and international federation for the surgery of obesity and metabolic disorders (IFSO): Indications for metabolic and bariatric surgery. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 18(12), 1345–1356. https://doi.org/10.1016/j.soard.2022.08.013
Fagundes, A. M., Lopes, R. B., Ribeiro, L. W. G., Silva, C. E., Martins, V. G. F. B., Rosário, C. C. do, Lopes, J. R., Souza, E. M. N. S., Cardoso, V. S. de A., & Law, L. G. M. (2022). Técnicas e complicações durante a cirurgia bariátrica: uma revisão da literatura. Research, Society and Development, 11(16), e387111637420. https://doi.org/10.33448/rsd-v11i16.37420
Fernandes, S. R., Figueiredo, B. Q. de, Bomfim, K. C. N., Sousa, K. K. de, Sousa, L. M. S. de, Gaia, M. G. G., Ribeiro Júnior, M. A., Souza, V. H. de, & Antonacci Júnior, E. (2021). Análise das vantagens e desvantagens da cirurgia videolaparoscópica em relação à laparotomia: uma revisão integrativa de literatura. Research, Society and Development, 10(12), e157101220356. https://doi.org/10.33448/rsd-v10i12.20356
Ferreira, F., Mota, J. A., & Duarte, J. (2012). Prevalência de excesso de peso e obesidade em estudantes adolescentes do distrito de Castelo Branco: um estudo centrado no índice de massa corporal, perímetro da cintura e percentagem de massa gorda. Revista portuguesa de saúde pública, 30(1), 47–54. https://doi.org/10.1016/j.rpsp.2012.03.002
Jaacks, L. M., Vandevijvere, S., Pan, A., McGowan, C. J., Wallace, C., Imamura, F., Mozaffarian, D., Swinburn, B., & Ezzati, M. (2019). The obesity transition: stages of the global epidemic. The Lancet. Diabetes & Endocrinology, 7(3), 231–240. https://doi.org/10.1016/s2213-8587(19)30026-9
Jammah, A. (2015). Endocrine and metabolic complications after bariatric surgery. Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association, 21(5), 269. https://doi.org/10.4103/1319-3767.164183
Khera, R., Murad, M. H., Chandar, A. K., Dulai, P. S., Wang, Z., Prokop, L. J., Loomba, R., Camilleri, M., & Singh, S. (2016). Association of pharmacological treatments for obesity with weight loss and adverse events: A systematic review and meta-analysis. JAMA: The Journal of the American Medical Association, 315(22), 2424. https://doi.org/10.1001/jama.2016.7602
Mechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Lindquist, R., Pessah-Pollack, R., Seger, J., Urman, R. D., Adams, S., Cleek, J. B., Correa, R., Figaro, M. K., Flanders, K., Grams, J., Hurley, D. L., Kothari, S., & Still, C. D. (2019). Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: Cosponsored by American association of clinical endocrinologists/American college of endocrinology, the obesity society, American society for metabolic & bariatric surgery, obesity medicine association, and American society of anesthesiologists. Endocrine Practice: Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 25, 1–75. https://doi.org/10.4158/gl-2019-0406
Merchán-Hamann, E., & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiologia e servicos de saude: revista do Sistema Unico de Saude do Brasil, 30(1). https://doi.org/10.1590/s1679-49742021000100026
Nora, C., Morais, T., Nora, M., Coutinho, J.C., I., & Monteiro, M. P. (2016). Gastrectomia vertical e bypass gástrico no tratamento da síndrome metabólica. Revista Portuguesa de Endocrinologia Diabetes e Metabolismo, 11(1), 23–29. https://doi.org/10.1016/j.rpedm.2015.09.002
Pereira, A. S., Shitsuka, D. M., Pereira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Núcleo de Tecnologia Educacional da Universidade Federal de Santa Maria. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Rahimian, J., Wilson, T., Oram, V., & Holzman, R. S. (2004). Pyogenic liver abscess: Recent trends in etiology and mortality. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 39(11), 1654–1659. https://doi.org/10.1086/425616
Rosini, T. C., da Silva, A. S. R., & Moraes, C. de. (2012). Obesidade induzida por consumo de dieta: modelo em roedores para o estudo dos distúrbios relacionados com a obesidade. Revista da Associacao Medica Brasileira (1992), 58(3), 383–387. https://doi.org/10.1590/s0104-42302012000300021
Neto, A. O. S., Meirelles, A., Lima, A. S., Brandão, A. B. de M., Soares, A. S., Farias, A. Q., Farias, A. H. T., Brito, A. F., & França, A. V. C. (2017). Manual de cuidados intensivos em hepatologia (P. L. Bittencourt, C. C. Zollinger, & E. P. de A. Lopes, Eds.; 2nd ed., p. 504) [Review of Manual de cuidados intensivos em hepatologia]. Editora Manole Ltda. https://sbhepatologia.org.br/wp-content/uploads/2017/10/Manual-de-Cuidados-Intensivos-em-Hepatologia-1.pdf
Scarpellini, E., Arts, J., Karamanolis, G., Laurenius, A., Siquini, W., Suzuki, H., Ukleja, A., Van Beek, A., Vanuytsel, T., Bor, S., Ceppa, E., Di Lorenzo, C., Emous, M., Hammer, H., Hellström, P., Laville, M., Lundell, L., Masclee, A., Ritz, P., & Tack, J. (2020). International consensus on the diagnosis and management of dumping syndrome. Nature Reviews. Endocrinology, 16(8), 448–466. https://doi.org/10.1038/s41574-020-0357-5
Wolfe, B. M., Kvach, E., & Eckel, R. H. (2016). Treatment of obesity: Weight loss and bariatric surgery. Circulation Research, 118(11), 1844–1855. https://doi.org/10.1161/circresaha.116.307591
Wysocki, M., Łabul, M., Małczak, P., Proczko-Stepaniak, M., Szymański, M., Hady, H. R., Głuszyńska, P., Myśliwiec, P., Walędziak, M., Zarzycki, P., Rymarowicz, J., Pędziwiatr, M., Pisarska-Adamczyk, M., Major, P., Major, P., Pędziwiatr, M., Rymarowicz, J., Zarzycki, P., Stefura, T., & Leśniak, M. (2023). Analysis of the risk factors for perioperative morbidity after laparoscopic revisional bariatric procedures: results from the multicenter Polish Revision Obesity Surgery Study. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 19(1), 68–75. https://doi.org/10.1016/j.soard.2022.08.011
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Copyright (c) 2023 Kilder Carmo dos Santos; Marco Antônio Bráulio Elosta ; Gabriel Martin Lauar; Pedro Henrique Barbosa Fernandes; Gabriella Carmo dos Santos ; Ana Luiza Branquinho Silva; Mariana Malheiro Negrão Bandeira
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