Bariatric Surgery is feasible in patients with Ehlers-Danlos Syndrome.
Bariatric surgery
Ehlers-Danlos Syndrome
Leak
Roux-en-Y gastric bypass
Sleeve gastrectomy
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
30
01
2020
revised:
13
03
2020
accepted:
26
03
2020
pubmed:
18
5
2020
medline:
28
4
2021
entrez:
18
5
2020
Statut:
ppublish
Résumé
Ehlers-Danlos syndrome (EDS) is a heterogeneous disease affecting connective tissues. EDS patients have a high susceptibility for developing anastomotic leak after visceral surgery. Although patients with EDS can also develop severe obesity and might be referred to bariatric surgery, there is just 1 case report in the literature regarding the outcomes of bariatric surgery in this specific context. To report the cases of patients with EDS and severe obesity that underwent bariatric surgery. Five French hospitals (University Hospital of Nantes, APHP Pitié Salpêtrière Hospital, APHP Bichat Hospital, Clinique St Gregoire Rennes, and Clinique Mutualiste de l'Estuaire St Nazaire). We report the cases of 7 patients with EDS and severe obesity who underwent surgery. All patients showed classical postoperative course except for 1 case of excessive bleeding. There was no increased pain, leak, and solid parietal healing was achieved in all patients at 1 month postoperatively. The percent excess weight loss at 1 and 6 months were 13.9 ± 3.8% and 45.3 ± 16%, respectively. Our study shows that bariatric surgery is a relevant and apparently safe surgical option to consider in severely obese patients with EDS.
Sections du résumé
BACKGROUND
BACKGROUND
Ehlers-Danlos syndrome (EDS) is a heterogeneous disease affecting connective tissues. EDS patients have a high susceptibility for developing anastomotic leak after visceral surgery. Although patients with EDS can also develop severe obesity and might be referred to bariatric surgery, there is just 1 case report in the literature regarding the outcomes of bariatric surgery in this specific context.
OBJECTIVE
OBJECTIVE
To report the cases of patients with EDS and severe obesity that underwent bariatric surgery.
SETTING
METHODS
Five French hospitals (University Hospital of Nantes, APHP Pitié Salpêtrière Hospital, APHP Bichat Hospital, Clinique St Gregoire Rennes, and Clinique Mutualiste de l'Estuaire St Nazaire).
METHODS
METHODS
We report the cases of 7 patients with EDS and severe obesity who underwent surgery.
RESULTS
RESULTS
All patients showed classical postoperative course except for 1 case of excessive bleeding. There was no increased pain, leak, and solid parietal healing was achieved in all patients at 1 month postoperatively. The percent excess weight loss at 1 and 6 months were 13.9 ± 3.8% and 45.3 ± 16%, respectively.
CONCLUSION
CONCLUSIONS
Our study shows that bariatric surgery is a relevant and apparently safe surgical option to consider in severely obese patients with EDS.
Identifiants
pubmed: 32417148
pii: S1550-7289(20)30181-7
doi: 10.1016/j.soard.2020.03.033
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1328-1331Informations de copyright
Copyright © 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.