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Acta Anaesthesiol Belg
; 64(3): 115-7, 2013.
Article
in English
| MEDLINE
| ID: mdl-24279201
ABSTRACT
Patients scheduled for bariatric surgery are instructed to stick to a low calorie, protein sparing diet for a brief period before their operation. However, too low calorie intake can lead to starvation ketoacidosis. We describe a case of a patient who rigorously restricted oral calorie input, even more than prescribed. Immediately after surgery, a marked metabolic acidosis was noted. This ketoacidosis was successfully treated with oral glucose substitution. A superposed respiratory acidosis could have had detrimental effects.
Subject(s)
Bariatric Surgery/adverse effects , Ketosis/etiology , Starvation/complications , Adult , Female , Humans
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