Dönmez Zeliha, Kükürt Şiirnaz, Dokuz Gonca, Kilic Ozge, Coşkun Furkan, Yardımcı Erkan, Kırpınar İsmet
Department of Psychiatry, Bezmiâlem Vakıf University Faculty of Medicine, Istanbul, Türkiye.
Department of General Surgery, Bezmiâlem Vakıf University Faculty of Medicine, Istanbul, Türkiye.
Noro Psikiyatr Ars. 2024 Nov 30;61(4):374-376. doi: 10.29399/npa.28653. eCollection 2024.
Bariatric surgery rates have been increasing in the treatment of obesity worldwide recently. In addition to many physical changes after bariatric surgery, the bioavailability of medications can also be significantly affected. In this article, we present a 51-year-old female patient diagnosed with lithium toxicity after sleeve gastrectomy surgery. The patient started to show gastrointestinal symptoms post-surgery after 37 days. She was initially followed up with the diagnosis of gastroenteritis and continued to use lithium. Subsequently, neurological symptoms were added, and she was diagnosed with lithium toxicity. During the toxicity treatment, elevated mood were also observed. We aimed to emphasize the importance of post-bariatric surgery follow-up for patients undergoing psychiatric treatments, especially those using lithium, focusing on both medication management and monitoring of clinical symptoms.
近年来，全球范围内减肥手术治疗肥胖症的比例一直在上升。除了减肥手术后出现的许多身体变化外，药物的生物利用度也会受到显著影响。在本文中，我们介绍了一名51岁的女性患者，她在接受袖状胃切除术后被诊断为锂中毒。患者术后37天开始出现胃肠道症状。她最初被诊断为肠胃炎并接受随访，同时继续服用锂盐。随后出现了神经症状，被诊断为锂中毒。在中毒治疗期间，还观察到情绪高涨。我们旨在强调对接受精神治疗的患者，尤其是使用锂盐的患者，进行减肥手术后随访的重要性，重点是药物管理和临床症状监测。
