ABSTRACT
Obesity is a worldwide epidemic that carries significant morbidity and mortality. There are many weight loss strategies available, yet to this date, none are risk-free. Intragastric balloons have been used for decades as a temporary measure for weight reduction and can be a useful approach for specific patients. Serious complications related to the device remain rare; however, prompt intervention is usually needed when they arise. We present the case of a 38-year-old female patient, she was using an intragastric balloon to treat her obesity. Regretfully, the balloon deflated causing intestinal migration and obstruction. After a successful surgery, the patient completely recovered.
ABSTRACT
Wilkie's syndrome is a rare cause of duodenal obstruction that can easily be missed at clinical practice. It is characterized by nausea, abdominal pain and vomit. It usually affects young adults, and it's caused by a low aortomesenteric angle resulting in vascular compression of the duodenum. Symptoms could resemble many of the symptoms presented in a patient with a suspected eating disorder. The non-specificity of the clinical signs and symptoms can confuse, delay the diagnosis and expose the patient to potentially hazardous therapies. We report a case of a 20-year-old patient who presented to the emergency room with a history of intermittent vomiting and abdominal pain. He had been previously misdiagnosed with an eating disorder and received physiological therapy. Nonetheless, his pain persisted. After further evaluation with the use of imaging techniques, a low aortomesenteric angle was discovered. He underwent surgery and completely recovered. On follow up controls patient is well and he no longer had episodes of vomiting.
ABSTRACT
En el Ecuador según la Encuesta Nacional de Salud y Nutrición publicada en el 2013, la prevalencia de Obesidad en personas mayores de 19 y menores a 60 años es del 62.8%, mientras que la principal causa de muerte de los ecuatorianos en el 2011 según el INEC fue la Diabetes Mellitus Tipo II. La aso-ciación entre obesidad y sus comorbilidades genera un importante impacto en la salud pública y en los costos que se generan de su atención. La cirugía metabólica (bariátrica) representa una excelente opción terapéutica para el tratamiento a largo plazo de la obesidad y sus comorbilidades.
In Ecuador, according to the National Health and Nutrition Survey published in 2013, the prevalence of obesity in people over 19 and under 60 years is 62.8%, while the main cause of Ecuadorians Ì death in 2011 according to the INEC was the Diabetes Mellitus Type II. The association between obesity and its comorbidities generates a significant impact on public health and its costs. The metabolic surgery is an excellent treatment option for long-term treatment of obesity and its comorbidities.
Subject(s)
Humans , Male , Female , Therapeutics , Bariatric Surgery , Obesity , General Surgery , Obesity, Morbid , Risk Factors , Diabetes Mellitus , Multiple Chronic ConditionsABSTRACT
Se presenta un estudio retrospectivo de carácter descriptivo, de 100 pacientes opera-dos por obesidad con diferentes técnicas en el Hospital Enrique Garcés de la ciudad de Quito, el cual nos muestra la tendencia actual al predominio del Bypass Gástrico y Gastrectomía vertical en manga, a quienes durante el seguimiento, se les aplicó el SCORE DE BAROS, evidenciando una mejoría integral de la calidad de vida que complementa a la disminución del peso y resolución de las comorbilidades en los pacientes. Resultados: El 86% corresponde a mujeres y el 14% a varones, con una media de IMC de 36; hubo hasta un 95,4% de mejoría en la calidad de vida luego de aplicado el test de Oria Moorehead que se enfoca en aspectos de relaciones humanas, trabajo y vida sexual. Las comorbilidades mejoraron en hasta un 53%
A retrospective descriptive study of 100 pa-tients operated by obesity with different te-chniques in the Enrique Garcés Hospital of the City of Quito, which shows the actual trend of the prevalence of gastric bypass and vertical sleeve gastrectomy, to which during monitoring were applied the SCO-RE OF BAROS evidencing a comprehensive improvement in the quality of life that com-plements weight reduction and resolution of comorbidities in patients.Results: 86% female 14% male, with a mean BMI of 36, there were a 95.4% of improve-ment in the quality of life after applying the test of Oria Moorehead that focuses on as-pects of human relationships, work and se-xual life. Comorbidities improved in a 53%.
