Surgical management of super‐super obesity with grade III esophageal varices and liver cirrhosis: The ultimate challenge
| Autor: | Shalimar, Aashir Kaul, Amit Bhambri, Vitish Singla, Sandeep Aggarwal, Lokesh Kashyap |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Cirrhosis business.industry medicine.medical_treatment General Medicine medicine.disease Surgery Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine Esophageal varices Weight loss 030220 oncology & carcinogenesis medicine Portal hypertension 030211 gastroenterology & hepatology medicine.symptom business Body mass index Contraindication |
| Zdroj: | Asian Journal of Endoscopic Surgery. 14:570-573 |
| ISSN: | 1758-5910 1758-5902 |
| DOI: | 10.1111/ases.12882 |
| Popis: | The risk of complications after bariatric surgery is high in morbidly obese patients suffering from liver cirrhosis along with moderate to severe portal hypertension. Esophageal varices are even considered as a contraindication for bariatric surgery by many surgeons. We report the case of a 40-year-old gentleman with a body mass index of 65.3 kg/m2 , with multiple comorbidities including type 2 diabetes mellitus, severe obstructive sleep apnea. On evaluation, he had Child-Pugh A liver cirrhosis with portal hypertension along with grade III esophageal varices and splenomegaly. After adequate optimization, laparoscopic sleeve gastrectomy was performed. The patient is doing well at a follow up of 12 months with an adequate weight loss and resolution of comorbidities. Sleeve gastrectomy can be performed in a morbidly obese Child-Pugh A cirrhotic patient with portal hypertension and esophageal varices with proper counseling regarding more than usual risk for morbidity and mortality. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text