Clin Psychopharmacol Neurosci.  2016 Aug;14(3):318-320. 10.9758/cpn.2016.14.3.318.

Lithium Toxicity Following Vertical Sleeve Gastrectomy: A Case Report

  • 1Stony Brook University School of Medicine, New York, USA.
  • 2Department of Psychiatry and Internal Medicine, Stony Brook University School of Medicine, New York, USA.


We are presenting the first documented case of lithium toxicity after vertical sleeve gastrectomy surgery in an 18 year-old female with psychiatric history of bipolar disorder who was treated with lithium. This case illustrates the need for closer monitoring of lithium levels following bariatric surgery. Both psychiatrists and surgeons should be aware of the potential risk of lithium toxicity following bariatric surgery, as well as the need to judiciously monitor lithium level and possibly adjust the dose of some medications.


Lithium; Bariatric surgery; Gastric bypass; Gastrectomy; Intestinal absorption
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