title: Intragastric balloon followed by biliopancreatic diversion in a liver transplant recipient: a case report.
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.
authors.affiliation: Department of Surgery, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy. gentilp@yahoo.com
authors.forename: Paolo
authors.initials: P
authors.lastname: Gentileschi
authors.forename: Marco
authors.initials: M
authors.lastname: Venza
authors.forename: Domenico
authors.initials: D
authors.lastname: Benavoli
authors.forename: Francesca
authors.initials: F
authors.lastname: Lirosi
authors.forename: Ida
authors.initials: I
authors.lastname: Camperchioli
authors.forename: Marco
authors.initials: M
authors.lastname: D'Eletto
authors.forename: Alessandra
authors.initials: A
authors.lastname: Lazzaro
authors.forename: Vito M
authors.initials: VM
authors.lastname: Stolfi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Anselmo
authors.forename: Nicola
authors.initials: N
authors.lastname: Di Lorenzo
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tisone
authors.forename: Achille L
authors.initials: AL
authors.lastname: Gaspari
mesh_terms: D015904:Biliopancreatic Diversion; D017809:Fatal Outcome; D015905:Gastric Balloon; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*