CASE REPORT   

Chirurgia 2005 December;18(6):491-6

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

A case of gastric bypass for morbid obesity

Parini U., Fabozzi M., Allieta R., Millo P., Brachet Contul R., Loffredo A., Lale-Murix E., Jr. Nardi M., Albani A., Ciarlo M.

The authors report a case of a 56 years old patient who underwent a laparoscopic robotic gastric bypass. Her weight , after the emergent admission in ICU for acute cardiac and respiratory failure, was 252 kilograms. The authors report the various clinical and technical difficulties in the perioperative management of such a patient and conclude the case report suggesting that , in a case like the one reported , only bariatric surgery can be useful and can be lifesaving for the patient in an emergent condition. Details of the operation are given and discussed: operating time was 235 minutes without intraoperative complications. Hospital stay was 18 days, with a regular postoperative course. 6 months after the operation the weight loss was 112 kilograms, with a normal cardiac and pulmonary function and without any digestive complication. Also the pain in her hips and knees was reduced. 6 months EBWL was 128% with significant improvement of comorbidities.