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Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery

Magda Zaarour 1, 2 Ramona Zaharia 1 Marion Bretault 1 Christel Jublanc 2 Capucine de Marcellus 1, 3 Jean-Luc Bouillot 4 Hervé Lefebvre 5, 6, 7 Jean-Michel Oppert 8, 9 Judith Aron-Wisnewsky 8, 9 Marie-Laure Raffin-Sanson 3, 1
1 Hôpital Ambroise Paré [AP-HP]
2 Institut E3M [CHU Pitié-Salpêtrière]
3 BECCOH - Biomarqueurs et essais cliniques en Cancérologie et Onco-Hématologie
4 Service de Chirurgie Viscérale [CHU Ambroise paré]
5 DC2N - Différenciation et communication neuronale et neuroendocrine
6 UNIROUEN - Université de Rouen Normandie
7 CHU Rouen
8 ICAN - Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition
9 CHU Pitié-Salpêtrière [AP-HP]
Abstract : Severe hypocalcemia complicating cervical endocrine surgery in patients with gastric bypass can constitute a major concern. When usual therapies fail to maintain calcemia within the normal range without secondary adverse events, reversal of the bariatric surgery should be considered. We herein report the outcomes of laparoscopic revision of bariatric surgeries in two patients suffering from severe resistant hypocalcemia following cervical surgery, requiring in one case recombinant PTH administration and, in the other, daily intravenous calcium injections. The Roux-en-Y gastric bypass was switched to sleeve gastrectomy in the first patient, and in the second patient, the biliopancreatic diversion with duodenal switch was revised, to restore the upper and distal parts of the alimentary tract. Rapid improvement of hypocalcemia was observed in both cases.
Keywords : Malabsorptive bariatric surgery Hypoparathyroidism Hypocalcemia Biliopancreatic diversion Roux-en-Y gastric bypass
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Journal articles
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https://hal-normandie-univ.archives-ouvertes.fr/hal-02419712
Contributor : Céline Duparc <>
Submitted on : Thursday, December 19, 2019 - 3:47:41 PM
Last modification on : Tuesday, September 1, 2020 - 3:21:26 AM

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COMUE-NORMANDIE | ICAN | UNIROUEN | DC2N | SU-MEDECINE | SORBONNE-UNIVERSITE | UVSQ | UNIV-PARIS-SACLAY | BCOH

Citation

Magda Zaarour, Ramona Zaharia, Marion Bretault, Christel Jublanc, Capucine de Marcellus, et al.. Laparoscopic Revision of Bariatric Surgeries in Two Patients with Severe Resistant Hypocalcemia After Endocrine Cervical Surgery. Obesity Surgery, Springer Verlag, 2019, 30, pp.1616-1620. ⟨10.1007/s11695-019-04132-8⟩. ⟨hal-02419712⟩

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