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Surg Obes Relat Dis. 2008 Jan-Feb;4(1):11-3. Epub 2007 Dec 11.

Gouty attacks occur frequently in postoperative gastric bypass patients.

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1
Sacred Heart Institute for Surgical Weight Loss, Pensacola, Florida 32503, USA.

Abstract

BACKGROUND:

Both obesity and surgery are known risk factors for instigating gouty attacks. We describe the incidence and management of postoperative gouty attacks after bariatric surgery.

METHODS:

We performed a retrospective, multi-institutional review of 411 consecutive laparoscopic gastric bypass patients and identified all patients with postoperative gouty attacks.

RESULTS:

Of the 411 patients reviewed, 21 (5.1%) had had a previous diagnosis of gout. Of these 21 patients, 7 (33.3%) had had an acute attack postoperatively. No patient who had never had a preoperative episode developed gout. In 4 of the 7 (57.1%) patients, the attack was severe enough to require treatment with corticosteroids. Monoarticular attacks occurred in 5 (71.4%) of the 7 patients, and polyarticular attacks occurred in 2 (28.6%). The joints involved included the toes, ankles, and wrists. One patient presented with cervical gout and developed polyarticular gout that required a significant rehabilitation stay.

CONCLUSION:

The morbidity of postoperative gouty attacks in bariatric surgery patients is significant. Patients with a history of gout should given prophylactic treatment and closely monitored.

Comment in

PMID:
18065292
DOI:
10.1016/j.soard.2007.09.012
[Indexed for MEDLINE]

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