Biliopancreatic diversion and simultaneous resection of a giant ulcerated fatty mass in a patient with body mass index: 75

Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss an...

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Veröffentlicht in:Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral 2014-01, Vol.29 (1), p.212-214
Hauptverfasser: Rodríguez López, Mario, Pacheco, David, Gonzalo, Marta, Velasco, Rosalía, Mambrilla, Sara, Bailón, Martín, Campillo, Ramón, Martínez, Ruth, Asensio, Enrique, Blanco, José Ignacio, Pérez-Saborido, Baltasar, de Luis, Daniel
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container_issue 1
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container_title Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral
container_volume 29
creator Rodríguez López, Mario
Pacheco, David
Gonzalo, Marta
Velasco, Rosalía
Mambrilla, Sara
Bailón, Martín
Campillo, Ramón
Martínez, Ruth
Asensio, Enrique
Blanco, José Ignacio
Pérez-Saborido, Baltasar
de Luis, Daniel
description Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss and improving obesity-associated diseases. This technique was performed on a 52-year-old woman (weight = 174 Kg, height = 152 cm, BMI= 75.3 kg/m2), with a classic open access due to anaesthesiologist's indication. During this procedure it was also performed a resection of a giant fatty mass on the inner side of left lower limb, which was ulcerated and infected. Postoperative period was uneventful, excepting wound dehiscence of the leg, requiring re-suturing. Six months after hospital discharge, the patient's percent excess weight loss was 36.98%. In our bariatric surgery series, with more than 400 patients since 2002, this patient was the one with the highest BMI.
doi_str_mv 10.3305/nh.2014.29.1.6895
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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Bariatric Surgery
Biliopancreatic Diversion
Body Mass Index
Female
Humans
Lipoma - surgery
Middle Aged
Obesity, Morbid - surgery
Treatment Outcome
Ulcer - surgery
Weight Loss
title Biliopancreatic diversion and simultaneous resection of a giant ulcerated fatty mass in a patient with body mass index: 75
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