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De novo ulcerative colitis and Takotsubo cardiomyopathy following sleeve gastrectomy
  1. Bernardo Andres Acevedo-Mendez1,2,
  2. Yuting Ye1,2,
  3. John Nihad Makaryus2,3 and
  4. Benjamin Hirsh2,3
  1. 1Department of Medicine, North Shore University Hospital, Manhasset, New York, USA
  2. 2Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
  3. 3Department of Cardiology, North Shore University Hospital, Manhasset, New York, USA
  1. Correspondence to Dr Bernardo Andres Acevedo-Mendez; bacevedome{at}


The increasing prevalence of severe obesity is a major public health concern. Bariatric surgery is an important treatment option for severe obesity due to its long-term sustained result. Multiple studies have shown that patients have an increased risk of developing inflammatory bowel disease following bariatric surgery. Takotsubo syndrome usually presents as acute left ventricular systolic dysfunction without corresponding obstructive coronary artery disease after an acute stress episode. We describe a unique case of a patient who developed de novo ulcerative colitis and takotsubo cardiomyopathy shortly after sleeve gastrectomy. The patient made a successful recovery due to prompt recognition and appropriate treatment.

  • Inflammatory bowel disease
  • Cardiovascular medicine
  • Obesity (nutrition)
  • Medical management

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  • Contributors BAA-M conducted the initial proposal of the case report and acquisition of the data. BAA-M, YY, JNM and BH contributed in equal parts to the interpretation of the data, performing the literature review, planning, design and writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.