title: Starvation-induced ketoacidosis in bariatric surgery: a case report.
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.
authors.affiliation: Department of Anesthesiology and Intensive care, Mariaziekenhuis Overpelt, Belgium. tvalkenborgh@mznl.be
authors.forename: T
authors.initials: T
authors.lastname: Valkenborgh
authors.forename: P
authors.initials: P
authors.lastname: Bral
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007662:Ketosis / Q000209:etiology*; D013217:Starvation / Q000150:complications*