[Biliopancreatic diversion and simultaneous resection of a giant ulcerated fatty mass in a patient with body mass index: 75].
Bariatric Surgery is currently the best treatment option for patients with Morbid Obesity and a Body Mass Index ≥ 40 kg/m2. Despite its high rate of postoperative and nutritional complications, biliopancreatic diversion (Scopinaro s procedure) has shown best results in terms of excess weight loss and improving obesity-associated diseases. This technique was performed on a 52-year-old woman (weight = 174 Kg, height = 152 cm, BMI= 75.3 kg/m2), with a classic open access due to anaesthesiologist's indication. During this procedure it was also performed a resection of a giant fatty mass on the inner side of left lower limb, which was ulcerated and infected. Postoperative period was uneventful, excepting wound dehiscence of the leg, requiring re-suturing. Six months after hospital discharge, the patient's percent excess weight loss was 36.98%. In our bariatric surgery series, with more than 400 patients since 2002, this patient was the one with the highest BMI.
Cirugía General y Digestiva. Hospital U. Río Hortega de Valladolid.. mariorodriguezlopez@gmail.com.
Mario
M
Rodríguez López
David
D
Pacheco
Marta
M
Gonzalo
Rosalía
R
Velasco
Sara
S
Mambrilla
Martín
M
Bailón
Ramón
R
Campillo
Ruth
R
Martínez
Enrique
E
Asensio
José Ignacio
JI
Blanco
Baltasar
B
Pérez-Saborido
Daniel
D
de Luis
D050110:Bariatric Surgery; D015904:Biliopancreatic Diversion; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008067:Lipoma / Q000601:surgery*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D016896:Treatment Outcome; D014456:Ulcer / Q000601:surgery; D015431:Weight Loss