Vasculitis Assocıated With Vitamine Deficiency After Laparoscopic Sleeve Gastrectomy: A Rare Case Report

Yıl 2016, Cilt: 8 Sayı: 3, 47 - 50, 27.11.2016

Gökhan Akkurt

Öz

Recently, laparoscopic sleeve gastrectomy has become a widely used surgical procedure for the treatment of morbid obesity. After sleeve gastrectomy, especially in the late period, some serious vitamine and mineral deficiencies associated with malabsorption and related complications may occur. So were ported a 43 year old female vasculitis patient presented with purpura on extremities associated with vitamine deficiency on the postoperative third month of laparoscopic sleeve gastrectomy performed due to morbid obesity.

Anahtar Kelimeler

Obesity, sleeve gastrectomy, vasculitis

Laparoskopik Sleeve Gastrektomi Sonrası Vitamin Eksikliğine Bağlı Gelişen Vaskülit: Nadir Bir Olgu

Öz

Son yıllarda laparoskopik sleeve gastrektomi, obezite tedavisinde yaygın olarak uygulanan bir cerrahi prosedür haline gelmiştir. Sleeve gastrektomi sonrası özellikle geç dönemde vitamin, mineral emilim bozukluklarına bağlı ciddi eksiklikler ve buna bağlı komplikasyonlar gelişebilir. Morbid obezite nedeniyle laparoskopik sleeve gastrektomi uygulanan 43 yaşında bayan hastada postoperatif üçüncü ayda vitamin eksikliğine bağlı ekstremitelerde purpura ile birlikte olan vaskülit vakasını sunduk.

Gökhan AKKURT,
Hakan BULUŞ,
Hakan ATAŞ,
Alper YAVUZ,
Utku TANTOĞLU,
Mustafa ALİMOĞULLARI,
Altan AYDIN

Anahtar Kelimeler

Obezite, sleeve gastrektomi, vaskülit

Kaynakça

• 1. Sakran N, Goitein D, Raziel A, et al. Gastric leaks after sleeve gastrectomy: a multicenter experience with 2,834 patients. Surg Enclose 2013;27:240-245.
• 2. Sarkhosh K, Birch D, Sharma A, Karmali S. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide. Can J Surg 2013;56:347-52.
• 3. Oren H. Vasküler purpura tanımı, klasi-fikasyonu, patofizyolojisi ve tedavisi. Hematolog 2012;2:141-9.
• 4. O’ Brien PE, Dixon JB. Theextent of the problem of obesity. Am Surg 2002; 184:4-8.
• 5. Fisher BL, Schauer P. Medical and surgical options in the treatment of severe obesity. Am J Surg 2002;184:9S-16S.
• 6. Brethauer SA. Sleeve Gastrectomy. Surg Clin N Am 2011;91:1265-79.
• 7. Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg 2003;13:861-4.
• 8. Ibrahim EH, Mehringer L, Prentice D, et al: Early versus late enteral feeding of mechanically ventilated patients: results of a clinical trial. JPEN 2002;26:174-81.
• 9. Şahin H, Ok E, Mercanligil MS. Operasyonda obezitenin oluşturduğu riskier. Ulus Cerrahi Derg 2008;24:208-14.
• 10. Hillman RS, Ault KA, Leporrier M, Rin-der HM. Vascular purpura. In: Hemato- logy in Clinical Practice, Fifth Ed. USA: The McGraw-Hill Company; 2011: 356-63.
• 11. Van Rutte PW, Aarts EO, Smulders JF, Nienhuijs SW. Nutrient deficiencies before and after sleeve gastrectomy. Obes Surg 2014;24:1639-46.
• 12. Machado SN, PereiraS, Saboya C,Saunders C, Ramalho A.lnfluence of Roux-en-Y gastric bypass on the nutritional status of vitamin a in pregnant women: a comparative study. Obes Surg 2016; 26:26-31.
• 13. Ben-Porat, Elazary R, Yuval JB, Wieder A, Khalaileh A, Weiss R. Nutritional deficiencies after sleeve gastrectomy: can they be predicted preoperatively? Surg Obes Relat Dis 2015;11:1029-36.