Lithium Intoxication after Bariatric Surgery: A Case Report
Bariatric surgery is a therapeutic option to treat obesity in (carefully selected) patients with psychiatric disorders. About half of the patients referred for bariatric surgery have a diagnosis of (at least one) mental disorder and most of them are treated with psychotropic drugs. This procedure ma...
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2021-05-01
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doaj-caab2304c0ed456d9b550d7e2abe99552021-05-03T13:11:27ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582021-05-0134538238610.20344/amp.128685091Lithium Intoxication after Bariatric Surgery: A Case ReportAndré Ribeirinho Marques0António Alho1João Malhadas Martins2Margarida Bairrão3Departamento de Psiquiatria e Saúde Mental. Hospital Distrital de Santarém. Santarém.Departamento de Psiquiatria e Saúde Mental. Hospital Distrital de Santarém. Santarém.Departamento de Psiquiatria e Saúde Mental. Hospital Distrital de Santarém. Santarém.Departamento de Psiquiatria e Saúde Mental. Hospital Distrital de Santarém. Santarém.Bariatric surgery is a therapeutic option to treat obesity in (carefully selected) patients with psychiatric disorders. About half of the patients referred for bariatric surgery have a diagnosis of (at least one) mental disorder and most of them are treated with psychotropic drugs. This procedure may modify the bioavailability of drugs and lithium is no exception. However, although absorption seems to decrease in most drugs, in the case of lithium, there is a high risk of toxicity. In this article, we describe the case of a 44-year-old female patient with lithium intoxication after bariatric surgery. We conducted a review of the published clinical cases in the scientific literature about lithium toxicity after bariatric surgery, and we propose potential preventive clinical solutions. It is essential to increase awareness of changes to the absorption of psychotropic drugs in the post-surgery period, particularly in the case of lithium. Regular postoperative clinical and laboratory monitoring of lithium serum levels is strongly recommended.https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12868cirurgia bariátricalítio/efeitos adversoslítio/intoxicação |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
André Ribeirinho Marques António Alho João Malhadas Martins Margarida Bairrão |
spellingShingle |
André Ribeirinho Marques António Alho João Malhadas Martins Margarida Bairrão Lithium Intoxication after Bariatric Surgery: A Case Report Acta Médica Portuguesa cirurgia bariátrica lítio/efeitos adversos lítio/intoxicação |
author_facet |
André Ribeirinho Marques António Alho João Malhadas Martins Margarida Bairrão |
author_sort |
André Ribeirinho Marques |
title |
Lithium Intoxication after Bariatric Surgery: A Case Report |
title_short |
Lithium Intoxication after Bariatric Surgery: A Case Report |
title_full |
Lithium Intoxication after Bariatric Surgery: A Case Report |
title_fullStr |
Lithium Intoxication after Bariatric Surgery: A Case Report |
title_full_unstemmed |
Lithium Intoxication after Bariatric Surgery: A Case Report |
title_sort |
lithium intoxication after bariatric surgery: a case report |
publisher |
Ordem dos Médicos |
series |
Acta Médica Portuguesa |
issn |
0870-399X 1646-0758 |
publishDate |
2021-05-01 |
description |
Bariatric surgery is a therapeutic option to treat obesity in (carefully selected) patients with psychiatric disorders. About half of the patients referred for bariatric surgery have a diagnosis of (at least one) mental disorder and most of them are treated with psychotropic drugs. This procedure may modify the bioavailability of drugs and lithium is no exception. However, although absorption seems to decrease in most drugs, in the case of lithium, there is a high risk of toxicity. In this article, we describe the case of a 44-year-old female patient with lithium intoxication after bariatric surgery. We conducted a review of the published clinical cases in the scientific literature about lithium toxicity after bariatric surgery, and we propose potential preventive clinical solutions. It is essential to increase awareness of changes to the absorption of psychotropic drugs in the post-surgery period, particularly in the case of lithium. Regular postoperative clinical and laboratory monitoring of lithium serum levels is strongly recommended. |
topic |
cirurgia bariátrica lítio/efeitos adversos lítio/intoxicação |
url |
https://actamedicaportuguesa.com/revista/index.php/amp/article/view/12868 |
work_keys_str_mv |
AT andreribeirinhomarques lithiumintoxicationafterbariatricsurgeryacasereport AT antonioalho lithiumintoxicationafterbariatricsurgeryacasereport AT joaomalhadasmartins lithiumintoxicationafterbariatricsurgeryacasereport AT margaridabairrao lithiumintoxicationafterbariatricsurgeryacasereport |
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1721482465600602112 |