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conferenceseries
.com
Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12
th
Global Gastroenterologists Meeting
3
rd
International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Body contouring surgery in diabetic patients: A new morbidity associated with SGLT2I
A Sleiwah, M McBride
and
C E Black
The Ulster Hospital, UK
S
odium glucose co-transport 2 inhibitors SGLT2i are novel class of antidiabetic medications approved for management
of type two diabetes. Their weight reducing characteristics and oral mode of administration make them more appealing
for use in patients with diabetes and obesity. Thus, more patients referred for body contouring surgery are started on these
medications. Increasing evidence is showing that diabetic ketoacidosis with euglycemia is a serious risk associated with their
use and can present few days post operatively. We present a case of a 44 years old patient who underwent elective standard
abdominoplasty and bilateral mastopexy (superiorly based pedicle with vertical scar) following weight loss of 8.5 stone over
a 5-year period. She had type 2 diabetes and her antidiabetic medications included metformin, liraglutide and empagliflozin.
Towards the end of the first postoperative day, she reported gradual onset of nausea, vomiting and abdominal pain. Urgent
investigations showed severe diabetic ketoacidosis with euglycemia. She was managed with fluid resuscitation, insulin infusion
and intravenous sodium bicarbonate in the high dependency unit. She made a complete clinical and biochemical recovery
and was discharged on day nine postoperatively. This case illustrates an emerging serious complication of diabetes in the
postoperative period associated with this class of antidiabetic medications.
Recent Publications
1. A Sleiwah, G Thomas, I Crawford and A Stanek (2017) Gastric volvulus: A potentially fatal cause of acute abdominal
pain. BMJ Case Reports, doi:10.1136/bcr-2016-217708.
2. A Sleiwah, M McBride and C Black (2017) Euglycaemic ketoacidosis: a potential new hazard to plastic surgery day
case and inpatient procedures. doi:10.1136/bcr-2017-220253.
3. A Sleiwah (2017) Should plastic surgeons in training have an additional training module? Journal of the Association
of Surgeons of Great Britain and Ireland.
Biography
A Sleiwah is part of the regional plastic and burn unit in at South West Acute Hospital, Northern Ireland, UK.
aseelnajeeb@yahoo.comA Sleiwah et al., J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-065