Abstract
Bariatric surgery is now the treatment of choice for morbid obesity, but is not without risk. Patients are cared for in specialised centres, but complications can present to non-specialised centres. We describe life-threatening re-feeding oedema in a patient following routine deflation of a gastric band. Band deflation or removal may be required for various reasons, but rapid release of the band without additional supplementation of electrolytes may be dangerous due to re-feeding syndrome.
References
Smith FJ, Holman CD, Moorin RE, et al. Incidence of bariatric surgery and postoperative outcomes: a population-based analysis in Western Australia. Med J Aust. 2008;189:198–202.
Malinowski SS. Nutritional and metabolic complications of bariatric surgery. Am J Med Sci. 2006;331:219–25.
Colossi FG, Casagrande DS, Chatkin R, et al. Need for multivitamin use in the postoperative period of gastric bypass. Obes Surg. 2008;18:187–91.
Yang F, Fu D, Ni Q. Hyperinsulinemic hypoglycemia after bariatric surgery. Am J Gastroenterol. 2008;103:1047–8.
Sjöström L, Narbro K, Sjöström CD, et al. Swedish obese subjects study. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.
Dixon AF, Dixon JB, O'Brien PE. Laparoscopic adjustable gastric banding induces prolonged satiety: a randomized blind crossover study. J Clin Endocrinol Metab. 2005;90:813–9.
Schnitker MA, Mattman PE, Bliss TL. A clinical study of malnutrition in Japanese prisoners of war. Ann Intern Med. 1951;35:69–96.
Btaiche IF, Khalidi N. Metabolic complications of parenteral nutrition in adults, part 1. Am J Health Syst Pharm. 2004;61:1938–48.
Kalambokis GN, Tsatsoulis AA, Tsianos EV. The edematogenic properties of insulin. Am J Kidney Dis. 2004;44:575–90.
Friedberg CE, van Buren M, Bijlsma JA, et al. Insulin increases sodium reabsorption in diluting segment in humans: evidence for indirect mediation through hypokalemia. Kidney Int. 1991;40:251–6.
Tiwari S, Riazi S, Ecelbarger CA. Insulin's impact on renal sodium transport and blood pressure in health, obesity, and diabetes. Am J Physiol Renal Physiol. 2007;293:974–84.
Spark RF, Arky RA, Boulter PR, et al. Renin, aldosterone and glucagon in the natriuresis of fasting. N Engl J Med. 1975;292:1335–40.
Medndelshon ME, Karas RH. The protective effects of estrogen on the cardiovascular system. N Eng J Med. 1999;340:1801–11.
Nesbakken R, Reinlie S. Magnesium and phosphorus: the electrolytes of energy metabolism. Acta Anaesthesiol Scand. 1985;29:60–4.
Authors and contributors
Vincent RP:
I declare that I participated in the literature search, drafting of the paper, obtaining written consent from the patient and that I have seen and approved the final version.
Aylwin SJB:
I declare that I participated in drafting of the paper; critically reviewed its content and that I have seen and approved the final version.
le Roux CW:
I declare that I participated in drafting of the paper; critically reviewed its content and that I have seen and approved the final version.
Conflicts of interest
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vincent, R.P., Aylwin, S.J.B. & le Roux, C.W. When the Brakes Came Off: Re-feeding Oedema after Deflation of a Gastric Band: A Case Report. OBES SURG 19, 1468–1470 (2009). https://doi.org/10.1007/s11695-009-9935-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-009-9935-2