Gastric Bypass pp 255-263 | Cite as


  • João Ettinger
  • Paulo Vicente FilhoEmail author
  • Euler Ázaro
  • Paulo Benigno


Morbid obesity is a global scourge. The worldwide prevalence of obesity has nearly doubled between 1980 and 2008. In 2008, 10% of men and 14% of women in the world were obese, compared with 5% for men and 8% for women in 1980. Given the absence of effective methods for conservative treatment of obesity, the number of bariatric surgery operations performed in growing every year. The most common complications of bariatric surgery include staple line leakage, suture line bleeding, episodes of pulmonary embolism, and infection of the surgical site. Another potentially life-threatening complication of bariatric surgery is rhabdomyolysis (RML). RML is a clinical and biochemical syndrome caused by skeletal muscle necrosis that results in extravasation of toxic intracellular contents from the myocytes into the circulatory system. The incidence of RML in bariatric surgery varies from 6% to 75% (Table 30.1). Postoperative RML in morbidly obese patient occurs due to the prolonged muscle compression in many non-physiological surgical positions, but mainly in procedures longer than 4–5 hours. In bariatric surgery, the excessive weight, the presence of diabetes, an ASA physical status >II, and prolonged surgical time also lead to RML. Full recovery can be expected with early diagnosis and treatment of the many complications that can develop in patients with this syndrome. If prevention of RML is not done, or the diagnosis is delayed, and appropriate treatment is not instituted, serious complications and even death can occur.


Rhabdomyolysis Muscle compression Myocytes Injury 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • João Ettinger
    • 1
  • Paulo Vicente Filho
    • 1
    Email author
  • Euler Ázaro
    • 1
  • Paulo Benigno
    • 1
  1. 1.Bahia School of Medicine and Public HealthSalvadorBrazil

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