Thyrotoxicosis after gastric bypass surgery prompting operative re-exploration

Bruce A. Lynch, James P. Dolan, Michael Mann

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: In the last 10 years, gastric bypass has become an increasingly common operation performed by general surgeons. The complications resulting from this procedure can be life-threatening and are often difficult to diagnose, particularly in the immediate postoperative period. We detail a case of thyrotoxicosis manifesting on postoperative day 1 which presented with symptoms mimicking an anastomotic leak. The patient underwent a negative laparoscopy before the thyroid dysfunction was diagnosed. There is no evidence that bariatric surgery carries a greater risk of postoperative thyrotoxicosis than any other non-thyroid operation. Many of the symptoms of thyrotoxicosis, however, are similar to those of other surgery-related complications, and it should be immediately considered in the differential diagnosis of a postoperative bariatric patient with tachycardia and fever. Failure to rule out this condition may lead to unnecessary surgery.

Original languageEnglish (US)
Pages (from-to)883-885
Number of pages3
JournalObesity Surgery
Volume15
Issue number6
DOIs
StatePublished - Jun 1 2005

Keywords

  • Bariatric surgery
  • Gastric bypass
  • Laparoscopy
  • Morbid obesity
  • Surgical complication
  • Thyroid function
  • Thyrotoxicosis

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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