肥胖症患者在减肥手术后发生急性痛风性关节炎。
Development of acute gouty attack in the morbidly obese population after bariatric surgery.
作者信息
Antozzi Priscila, Soto Flavia, Arias Fernando, Carrodeguas Lester, Ropos Trumane, Zundel Natan, Szomstein Samuel, Rosenthal Raul
机构信息
Bariatric Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.
出版信息
Obes Surg. 2005 Mar;15(3):405-7. doi: 10.1381/0960892053576802.
BACKGROUND
Gout is associated with increased body weight. We evaluated the prevalence of gout and acute gouty attacks in the morbidly obese population who underwent bariatric surgery.
METHODS
The medical records and operative reports of 1,240 patients who underwent bariatric surgery were reviewed retrospectively for weight parameters, BMI, weight loss, medical history of gout, and onset of acute gouty attacks.
RESULTS
Of the 1,240 patients, 5 (0.4%) had been previously diagnosed with gout. 2 of these 5 had acute attacks during the postoperative period, and responded successfully to intravenous colchicine.
CONCLUSION
Although rare, gout must be considered a co-morbid illness in obese and morbidly obese patients. Surgeons should be familiar with the signs and symptoms of attacks in the postoperative period, and be knowledgeable in the management.
背景
痛风与体重增加有关。我们评估了接受减肥手术的病态肥胖人群中痛风及急性痛风发作的患病率。
方法
回顾性分析1240例接受减肥手术患者的病历和手术报告，以获取体重参数、体重指数（BMI）、体重减轻情况、痛风病史及急性痛风发作情况。
结果
在1240例患者中，5例（0.4%）既往被诊断为痛风。这5例中有2例在术后发生急性发作，经静脉注射秋水仙碱治疗成功。
结论
尽管痛风在肥胖和病态肥胖患者中罕见，但仍应视为一种合并疾病。外科医生应熟悉术后发作的体征和症状，并掌握其治疗方法。
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