Endoscopic gastroplasty: an effective solution in a high-risk patient with morbid obesity
- 1 April 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Clinical Journal of Gastroenterology
- Vol. 14 (2), 489-493
- https://doi.org/10.1007/s12328-020-01322-1
Abstract
A 61-year-old man was referred to the bariatric endoscopy unit for the management of morbid obesity (BMI 47 kg/m(2)). He had multiple obesity-related medical comorbidities. His weight gain started 8 years after suffering smoke inhalation syndrome following an industrial accident. He sustained permanent lung parenchymal injury resulting in impaired pulmonary function. His mobility was restricted to a wheelchair and was dependent on long term oxygen therapy. He tried diet and lifestyle intervention but could not achieve significant weight loss. He was referred for bariatric surgery but was declined because of substantial comorbidities, poor pulmonary function, anesthetic risk (ASA Class 4), and risk of complications. After depleting all of his options, he sought us for endoscopic therapy. Following a successful collaboration with the anesthetist, endocrinologist, and nutritionist, we performed an endoscopic gastroplasty using the modified primary obesity surgery endoluminal procedure (POSE-2) and reduced the gastric volume. He recovered immediately without complications and achieved significant weight loss at 10 months (41 kg). He is now able to walk, the oxygen requirements have decreased, and the comorbidities have significantly improved.This publication has 25 references indexed in Scilit:
- Respiratory management of the obese patient undergoing surgery2015
- The Primary Obesity Surgery Endolumenal (POSE) procedure: one-year patient weight loss and safety outcomesSurgery for Obesity and Related Diseases, 2014
- Observational study of the effect of obesity on lung volumesThorax, 2014
- Laparoscopic Gastric Bypass vs. Sleeve Gastrectomy in the Super Obese Patient: Early Outcomes of an Observational StudyObesity Surgery, 2013
- Systematic Review of Obesity Surgery Mortality Risk Score—Preoperative Risk Stratification in Bariatric SurgeryObesity Surgery, 2012
- Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studiesThe Lancet, 2009
- Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesityHealth and Quality of Life Outcomes, 2008
- Outcome and Complications of Gastric Bypass in Super-Super Obesity versus Morbid ObesityObesity Surgery, 2006
- Early Experience with Two-Stage Laparoscopic Roux-en-Y Gastric Bypass as an Alternative in the Super-Super Obese PatientObesity Surgery, 2003
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987