Neurosurgical issues of bariatric surgery

A systematic review of the literature and principles of diagnosis and treatment

Research output: Contribution to journalReview article

Abstract

Bariatric surgery is gaining popularity as the treatment of choice of morbid obesity since this condition is constantly increasing over the last decades. Several complications have emerged as the number of surgeries and follow-up data increase. No systematic review of the neurosurgery-related potential complications has been performed to date. Objective of this work is to fill this gap. We reviewed the literature for bariatric surgery-related complications involving the neurosurgical practice. Moreover, we present explicative cases dealing with peri- and post-operative therapeutic precautions. Three pathological mechanisms emerged. The first is related to intracranial pressure alterations and may imply either intracranial hypertension or hypotension syndromes in the operative or post-operative periods. The second is the deficiency of macro- and micro-nutrients which are potential risk factors for neuro- or myelo-encephalopathies, fetal malformations and spine disorders. The third is a dysregulation of both autonomic and endocrine / pituitary control. Neurosurgeons must be aware of the several, multifactorial neurosurgery-related complications of bariatric surgery as their prevalence is likely to be higher in the next few years.

Original languageEnglish
Pages (from-to)34-40
Number of pages7
JournalClinical Neurology and Neurosurgery
Volume176
DOIs
Publication statusPublished - Jan 1 2019

Fingerprint

Bariatric Surgery
Neurosurgery
Brain Diseases
Intracranial Hypotension
Food
Intracranial Hypertension
Morbid Obesity
Intracranial Pressure
Spine
Therapeutics

Keywords

  • Bariatric
  • Cushing
  • Intracranial hypertension
  • Neuropathy
  • Neurosurgery
  • Obesity
  • Pituitary

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

@article{eb4a3a0b12984bf9a76a8affcf79482d,
title = "Neurosurgical issues of bariatric surgery: A systematic review of the literature and principles of diagnosis and treatment",
abstract = "Bariatric surgery is gaining popularity as the treatment of choice of morbid obesity since this condition is constantly increasing over the last decades. Several complications have emerged as the number of surgeries and follow-up data increase. No systematic review of the neurosurgery-related potential complications has been performed to date. Objective of this work is to fill this gap. We reviewed the literature for bariatric surgery-related complications involving the neurosurgical practice. Moreover, we present explicative cases dealing with peri- and post-operative therapeutic precautions. Three pathological mechanisms emerged. The first is related to intracranial pressure alterations and may imply either intracranial hypertension or hypotension syndromes in the operative or post-operative periods. The second is the deficiency of macro- and micro-nutrients which are potential risk factors for neuro- or myelo-encephalopathies, fetal malformations and spine disorders. The third is a dysregulation of both autonomic and endocrine / pituitary control. Neurosurgeons must be aware of the several, multifactorial neurosurgery-related complications of bariatric surgery as their prevalence is likely to be higher in the next few years.",
keywords = "Bariatric, Cushing, Intracranial hypertension, Neuropathy, Neurosurgery, Obesity, Pituitary",
author = "Daniele Bongetta and Cesare Zoia and Sabino Luzzi and Maestro, {Mattia Del} and Andrea Peri and Germana Bichisao and Debora Sportiello and Isabella Canavero and Andrea Pietrabissa and Galzio, {Renato J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.clineuro.2018.11.009",
language = "English",
volume = "176",
pages = "34--40",
journal = "Clinical Neurology and Neurosurgery",
issn = "0303-8467",
publisher = "Elsevier",

}

TY - JOUR

T1 - Neurosurgical issues of bariatric surgery

T2 - A systematic review of the literature and principles of diagnosis and treatment

AU - Bongetta, Daniele

AU - Zoia, Cesare

AU - Luzzi, Sabino

AU - Maestro, Mattia Del

AU - Peri, Andrea

AU - Bichisao, Germana

AU - Sportiello, Debora

AU - Canavero, Isabella

AU - Pietrabissa, Andrea

AU - Galzio, Renato J.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Bariatric surgery is gaining popularity as the treatment of choice of morbid obesity since this condition is constantly increasing over the last decades. Several complications have emerged as the number of surgeries and follow-up data increase. No systematic review of the neurosurgery-related potential complications has been performed to date. Objective of this work is to fill this gap. We reviewed the literature for bariatric surgery-related complications involving the neurosurgical practice. Moreover, we present explicative cases dealing with peri- and post-operative therapeutic precautions. Three pathological mechanisms emerged. The first is related to intracranial pressure alterations and may imply either intracranial hypertension or hypotension syndromes in the operative or post-operative periods. The second is the deficiency of macro- and micro-nutrients which are potential risk factors for neuro- or myelo-encephalopathies, fetal malformations and spine disorders. The third is a dysregulation of both autonomic and endocrine / pituitary control. Neurosurgeons must be aware of the several, multifactorial neurosurgery-related complications of bariatric surgery as their prevalence is likely to be higher in the next few years.

AB - Bariatric surgery is gaining popularity as the treatment of choice of morbid obesity since this condition is constantly increasing over the last decades. Several complications have emerged as the number of surgeries and follow-up data increase. No systematic review of the neurosurgery-related potential complications has been performed to date. Objective of this work is to fill this gap. We reviewed the literature for bariatric surgery-related complications involving the neurosurgical practice. Moreover, we present explicative cases dealing with peri- and post-operative therapeutic precautions. Three pathological mechanisms emerged. The first is related to intracranial pressure alterations and may imply either intracranial hypertension or hypotension syndromes in the operative or post-operative periods. The second is the deficiency of macro- and micro-nutrients which are potential risk factors for neuro- or myelo-encephalopathies, fetal malformations and spine disorders. The third is a dysregulation of both autonomic and endocrine / pituitary control. Neurosurgeons must be aware of the several, multifactorial neurosurgery-related complications of bariatric surgery as their prevalence is likely to be higher in the next few years.

KW - Bariatric

KW - Cushing

KW - Intracranial hypertension

KW - Neuropathy

KW - Neurosurgery

KW - Obesity

KW - Pituitary

UR - http://www.scopus.com/inward/record.url?scp=85057240161&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85057240161&partnerID=8YFLogxK

U2 - 10.1016/j.clineuro.2018.11.009

DO - 10.1016/j.clineuro.2018.11.009

M3 - Review article

VL - 176

SP - 34

EP - 40

JO - Clinical Neurology and Neurosurgery

JF - Clinical Neurology and Neurosurgery

SN - 0303-8467

ER -