gout and bariatric surgery

[Guest guest]

Does anyone have any advice for preoperative and postoperative

management of gout - as it relates to bariatric surgery. I recently saw

a post-operative patient who got a bad case of gout right after surgery

and I tried to stick to the general guidelines for managing his gout

(along with the medication prescribed by his PCP). I had him restrict

his protein shakes and when the gout resolved increase it back slowly.

I just found out that two preoperative patients I'm counseling also

have gout an I'm trying to prepare them for what they can expect after

surgery. Please share any insights or information. It will be greatly

appreciated.

Kathleen