Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico

Prader-Willi Syndrome (PWS) is a multisystemic genetic disease characterized by hypothalamic hypogonadism, mental retardation and compulsive hyperphagia associated with early and severe obesity. Complications of overweight, such as type-2 diabetes Mellitus, dyslipidemia and diffuse atheromatosis are...

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Autores principales:	Braghetto M,Italo, Rodríguez N,Alberto, Debandi L,Aníbal, Brunet L,Luis, Papapietro V,Karin, Pineda B,Pedro, Pacheco P,María Isabel
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Gastrectomy Gastric stump Obesity Prader-Willi syndrome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400011
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id	oai:scielo:S0034-98872003000400011
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spelling	oai:scielo:S0034-988720030004000112004-12-13Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgicoBraghetto M,ItaloRodríguez N,AlbertoDebandi L,AníbalBrunet L,LuisPapapietro V,KarinPineda B,PedroPacheco P,María Isabel Gastrectomy Gastric stump Obesity Prader-Willi syndrome Prader-Willi Syndrome (PWS) is a multisystemic genetic disease characterized by hypothalamic hypogonadism, mental retardation and compulsive hyperphagia associated with early and severe obesity. Complications of overweight, such as type-2 diabetes Mellitus, dyslipidemia and diffuse atheromatosis are common. We report a 15 years old morbid obese male with PWS, with a body mass index of 57.7 kg/m², refractory to weight-lowering treatments. He underwent preoperative evaluation and treatment by a multidisciplinary team, and subjected to a 95% gastrectomy, leaving a 50 ml remnant pouch and a long limb (120 cm) Y-Roux gastro-jejuno anastomosis. There were no surgical complications, oral feeding was initiated at the 5th day with an hypocaloric diet. During the first postoperative year, the patient lost 70 kg, achieving a body mass index of 30 kg/m². Surgical treatment can become a therapeutic choice for obesity in PWS patients (Rev Méd Chile 2003; 131: 427-31).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.4 20032003-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400011es10.4067/S0034-98872003000400011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrectomy Gastric stump Obesity Prader-Willi syndrome
spellingShingle	Gastrectomy Gastric stump Obesity Prader-Willi syndrome Braghetto M,Italo Rodríguez N,Alberto Debandi L,Aníbal Brunet L,Luis Papapietro V,Karin Pineda B,Pedro Pacheco P,María Isabel Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
description	Prader-Willi Syndrome (PWS) is a multisystemic genetic disease characterized by hypothalamic hypogonadism, mental retardation and compulsive hyperphagia associated with early and severe obesity. Complications of overweight, such as type-2 diabetes Mellitus, dyslipidemia and diffuse atheromatosis are common. We report a 15 years old morbid obese male with PWS, with a body mass index of 57.7 kg/m², refractory to weight-lowering treatments. He underwent preoperative evaluation and treatment by a multidisciplinary team, and subjected to a 95% gastrectomy, leaving a 50 ml remnant pouch and a long limb (120 cm) Y-Roux gastro-jejuno anastomosis. There were no surgical complications, oral feeding was initiated at the 5th day with an hypocaloric diet. During the first postoperative year, the patient lost 70 kg, achieving a body mass index of 30 kg/m². Surgical treatment can become a therapeutic choice for obesity in PWS patients (Rev Méd Chile 2003; 131: 427-31).
author	Braghetto M,Italo Rodríguez N,Alberto Debandi L,Aníbal Brunet L,Luis Papapietro V,Karin Pineda B,Pedro Pacheco P,María Isabel
author_facet	Braghetto M,Italo Rodríguez N,Alberto Debandi L,Aníbal Brunet L,Luis Papapietro V,Karin Pineda B,Pedro Pacheco P,María Isabel
author_sort	Braghetto M,Italo
title	Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
title_short	Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
title_full	Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
title_fullStr	Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
title_full_unstemmed	Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico
title_sort	síndrome prader-willi asociado a obesidad mórbida: tratamiento quirúrgico
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000400011
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Síndrome Prader-Willi asociado a obesidad mórbida: tratamiento quirúrgico

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