Intragastric balloon followed by biliopancreatic diversion in a liver transplant recipient: a case report.
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.
Gentileschi
Paolo
P
Department of Surgery, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy. gentilp@yahoo.com
Venza
Marco
M
Benavoli
Domenico
D
Lirosi
Francesca
F
Camperchioli
Ida
I
D'Eletto
Marco
M
Lazzaro
Alessandra
A
Stolfi
Vito M
VM
Anselmo
Alessandro
A
Di Lorenzo
Nicola
N
Tisone
Giuseppe
G
Gaspari
Achille L
AL
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*