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Intragastric balloon followed by biliopancreatic diversion in a liver transplant recipient: a case report

Authors :
Paolo Gentileschi
Alessandra Lazzaro
Marco D'Eletto
Domenico Benavoli
Nicola Di Lorenzo
Francesca Lirosi
Marco Venza
Giuseppe Tisone
Ida Camperchioli
Alessandro Anselmo
Achille L. Gaspari
Vito M. Stolfi
Source :
Obesity surgery. 19(10)
Publication Year :
2009

Abstract

Liver transplantation is a life-saving procedure for end-stage liver disease. In liver transplant recipients, morbid obesity influences post-operative survival and graft function. In 1996, our patient underwent a successful liver transplantation because of a HCV-related liver failure (body mass index (BMI) 31). Follow-up showed a functional graft and the development of severe obesity up to a BMI of 61 in January 2006. In January 2007, he was submitted to intragastric balloon therapy for 6 months, reaching a BMI of 54. In September 2007, he underwent a biliopancreatic diversion. During follow-up to March 2008, he reached a BMI of 42 with ameliorations of comorbidities. In May 2008, during a hospital admission, he suddenly died of a heart attack. Post mortem study revealed a myocardial infarction. This is the first world case report for this approach. According to our opinion, patient's death was not related to bariatric surgery.

Details

ISSN :
17080428
Volume :
19
Issue :
10
Database :
OpenAIRE
Journal :
Obesity surgery
Accession number :
edsair.doi.dedup.....1d5d195229247ed9823b34539de118ff