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Elizabeth Shepard, MD

  • W. Elizabeth Shepard

Specialties

Pediatrics

Work and Education

Professional Education

University of Alabama School of Medicine, Birmingham, AL, 1984

Internship

University of Tennessee, Memphis, TN, 1985

Residency

University of Tennessee, Memphis, TN, 1987

Fellowship

Stanford University School of Medicine Registrar, Palo Alto, CA, 1991

University of California San Diego, San Diego, CA, 1990

Board Certifications

Pediatrics, American Board of Pediatrics

Conditions Treated

Environmental Health

Nutrition

Obesity

All Publications

Vitamin D-Deficient Rickets in a Child With Cow's Milk Allergy (vol 25, pg 394, 2010) NUTRITION IN CLINICAL PRACTICE Barreto-Chang, O. L., Pearson, D., Shepard, E., Longhurst, C. A., Greene, A. 2011; 26 (2): 208-208
Methamphetamine use following bariatric surgery in an adolescent OBESITY SURGERY Dutta, S., Morton, J., Shepard, E., Peebles, R., Farrales-Nguyen, S., Hammer, L. D., Albanese, C. T. 2006; 16 (6): 780-782

Abstract

Bariatric surgery is increasingly popular as a therapeutic strategy for morbidly obese adolescents. Adolescence represents a sensitive period of psychosocial development, and children with considerable weight loss may experience greater peer acceptance, accompanied by both positive and negative influences. Substance abuse exists as one of these negative influences. We present the case of an adolescent bariatric surgical patient who abused methamphetamines in the postoperative period, with consequent nutritional instability. A concerted effort must be made in the preoperative assessment of adolescent bariatric patients to delineate a history of illicit drug use, including abuse of diet pills and stimulants. Excessive postoperative weight loss or micronutrient supplementation non-compliance should raise a suspicion of stimulant use and appropriate screening tests should be performed. The consequent appetite suppression may manifest with signs of malnutrition such as bradycardia, hypotension, and weakness. Inpatient nutritional rehabilitation and psychiatric assessment should be considered.

View details for Web of Science ID 000238156200019

View details for PubMedID 16756743