Preparation of a severely obese adolescent for significant and long-term weight loss: an illustrative case
| Autor: | Stavra A. Xanthakos, Kathleen B. Hrovat, Andrew J. Kruger, Thomas H. Inge |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Adolescent Gastric Bypass Preoperative care Article Weight loss Intervention (counseling) Preoperative Care Weight Loss Pediatric surgery medicine Humans business.industry Late stage General Medicine medicine.disease Obesity Obesity Morbid Obstructive sleep apnea Pediatrics Perinatology and Child Health Physical therapy Surgery medicine.symptom Weight Loss Surgery business |
| Zdroj: | Pediatric Surgery International. 29:835-839 |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-013-3311-y |
| Popis: | For severely obese patients planning bariatric surgery, many surgeons advise pre-operative weight loss which can be difficult for some to achieve. We report a 16-year-old male who was referred for weight loss surgery in a very late stage of severe obesity with a weight and BMI of 310 kg and 93 kg/m(2), respectively. He also suffered from obstructive sleep apnea and hypertension. To prepare him for laparoscopic gastric bypass, a strict pre-operative nutritional intervention with inpatient and outpatient phases was designed. He lost 22 kg pre-operatively and an additional 86 kg by 67 months post-operatively, representing a 35 % total reduction in BMI. This case illustrates the feasibility and value of a defined pre-operative dietary intervention to effectively manage the weight of an adolescent referred late in the progression of severe obesity. |
| Databáze: | OpenAIRE |
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