Laparoscopic sleeve gastrectomy for morbid obesity and Klinefelter syndrome: clinical report on two patients, with long-term follow-up.

Bariatric surgery Binge eating disorder Body image dissatisfaction Interdisciplinary approach Klinefelter syndrome Metabolic syndrome Obesity

Journal

Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 05 05 2020
accepted: 25 06 2020
pubmed: 13 7 2020
medline: 24 6 2021
entrez: 13 7 2020
Statut: ppublish

Résumé

Klinefelter syndrome (KS) can appear as a wide spectrum of clinical manifestations, with no guidelines for appropriate treatment. We present the first study of bariatric surgery (BS) with a 48-month follow-up, for the management of two patients affected by obesity and KS. The first patient was a 32-year-old man with diagnosis of Klinefelter mosaicism (46 XY/47, XXY), Body Mass Index (BMI) of 50 kg/m In patients with KS, LSG demonstrated long-term beneficial effects for weight loss and amelioration of comorbidities. An interdisciplinary approach is mandatory, since it leads to adherence to follow-up programs and mental health well-being.

Identifiants

pubmed: 32654003
doi: 10.1007/s40519-020-00951-2
pii: 10.1007/s40519-020-00951-2
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1685-1690

Références

Groth KA, Skakkebæk A, Høst C et al (2017) Klinefelter Syndrome—a clinical update. J Clin Endocrinol Metab 98:20–30. https://doi.org/10.1210/jc.2012-2382
doi: 10.1210/jc.2012-2382
Bojesen A, Juul S, Birkebæk N, Gravholt CH (2004) Increased mortality in Klinefelter syndrome. J Clin Endocrinol Metab. https://doi.org/10.1210/jc.2004-0777
doi: 10.1210/jc.2004-0777 pubmed: 15292313
Janmohammadi P, Mohammadi-farsani G, Arghavani H, Mokhber T (2017) Klinefelter syndrome with morbid obesity before bariatric surgery : a case report. J Minim Invasive Surg Sci. https://doi.org/10.5812/minsurgery.43608.Case
doi: 10.5812/minsurgery.43608.Case
Bianciardi E, Di Lorenzo G, Niolu C et al (2019) Body image dissatisfaction in individuals with obesity seeking bariatric surgery: exploring the burden of new mediating factors. Riv Psichiatr. https://doi.org/10.1708/3104.30935
doi: 10.1708/3104.30935 pubmed: 31282493
Bianciardi E, Di Lorenzo G, Flavia G et al (2016) Exploring psychiatric features of patients with long-term vomiting after bariatric surgery. J Food Nutr Disord. https://doi.org/10.4172/2324-9323.1000194
doi: 10.4172/2324-9323.1000194
Calogero AE, Giagulli VA, Mongioì LM et al (2017) Klinefelter syndrome: cardiovascular abnormalities and metabolic disorders. J Endocrinol Invest 40:705–712. https://doi.org/10.1007/s40618-017-0619-9
doi: 10.1007/s40618-017-0619-9 pubmed: 28258556
Bojesen A, Kristensen K, Birkebaek NH et al (2006) The metabolic syndrome is frequent in Klinefelter’s syndrome and is associated with abdominal obesity and hypogonadism. Diabetes Care. https://doi.org/10.2337/dc06-0145
doi: 10.2337/dc06-0145 pubmed: 16801584
Bojesen A, Juul S, Birkebæk NH, Gravholt CH (2006) Morbidity in Klinefelter syndrome: a Danish register study based on hospital discharge diagnoses. J Clin Endocrinol Metab. https://doi.org/10.1210/jc.2005-0697
doi: 10.1210/jc.2005-0697 pubmed: 16394093
Perrone F, Bianciardi E, Ippoliti S et al (2017) Long-term effects of laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass for the treatment of morbid obesity: a monocentric prospective study with minimum follow-up of 5 years. Updates Surg. https://doi.org/10.1007/s13304-017-0426-z
doi: 10.1007/s13304-017-0426-z pubmed: 28266000
Perrone F, Bianciardi E, Benavoli D et al (2016) Gender influence on long-term weight loss and comorbidities after laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: a prospective study with a 5-year follow-up. Obes Surg. https://doi.org/10.1007/s11695-015-1746-z
doi: 10.1007/s11695-015-1746-z pubmed: 26033435
Ceccarini G, Maria Ciccarone A, Santini F, Del Prato S (2016) Integrating medical and surgical therapies to optimize the outcomes of type 2 diabetes. Surg Obes Relat Dis. https://doi.org/10.1016/j.soard.2016.01.035
doi: 10.1016/j.soard.2016.01.035 pubmed: 27178605
Niolu C, Barone Y, Bianciardi E et al (2015) Predictors of poor adherence to treatment in inpatients with bipolar and psychotic spectrum disorders. Riv Psichiatr. https://doi.org/10.1708/2098.22686
doi: 10.1708/2098.22686 pubmed: 26780202
Nieschlag E, Ferlin A, Gravholt CH et al (2016) The Klinefelter syndrome: current management and research challenges. Andrology. https://doi.org/10.1111/andr.12208
doi: 10.1111/andr.12208 pubmed: 27611179

Auteurs

Emanuela Bianciardi (E)

Chair of Psychiatry, Department of Systems Medicine, University of "Tor Vergata", Via Montpellier 1, 00133, Rome, Italy. emanuelabianciardi@libero.it.

Paolo Orsaria (P)

Department of Surgery, Obesity Unit, University of Rome "Tor Vergata", Rome, Italy.

Cinzia Niolu (C)

Chair of Psychiatry, Department of Systems Medicine, University of "Tor Vergata", Via Montpellier 1, 00133, Rome, Italy.

Alberto Siracusano (A)

Chair of Psychiatry, Department of Systems Medicine, University of "Tor Vergata", Via Montpellier 1, 00133, Rome, Italy.

Paolo Gentileschi (P)

Department of Surgery, Obesity Unit, University of Rome "Tor Vergata", Rome, Italy.

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