ABSTRACT
There is experimental evidence but very few human studies that suggest a role for obesity in the formation and progression of some glomerular lesions. We report the case of a morbidly obese male with hematuria and proteinuria that was subsequently diagnosed with renal failure which required dialysis. Histological findings of the renal biopsy performed during a laparoscopic gastric bypass are presented. His renal failure resolved with the weight loss.
Subject(s)
Acute Kidney Injury/pathology , Gastric Bypass/methods , Glomerulonephritis/diagnosis , Laparoscopy/methods , Obesity, Morbid/surgery , Acute Kidney Injury/complications , Acute Kidney Injury/therapy , Adult , Biopsy, Needle , Body Mass Index , Follow-Up Studies , Glomerulonephritis/complications , Glomerulonephritis/therapy , Humans , Immunohistochemistry , Kidney Function Tests , Male , Obesity, Morbid/complications , Obesity, Morbid/diagnosis , Recovery of Function , Renal Dialysis/methods , Risk Assessment , Severity of Illness Index , Treatment Outcome , Weight LossABSTRACT
BACKGROUND: Psoriasis is a chronic skin disease characterized by epithelial hyperplasia and an accelerated rate of epithelial turnover affecting approximately 1-3% of the population. Exogenous and endogenous factors including morbid obesity can increase the morbidity of psoriasis. CASE REPORT: A 55-year-old male, who weighed 131 kg with BMI 41 kg/m2, underwent laparoscopic Roux-en-Y gastric bypass (LRYGBP). He had a 15-year duration of severe psoriasis and was being medically treated. At 12 months after LRYGBP, he had lost 39 kg (68% EWL), and had complete resolution of the psoriasis and had discontinued all preoperative medications related to the disease. At 2 years after LRYGBP, psoriasis has not recurred. CONCLUSION: Weight loss after LRYGBP should be considered as a strategy in the treatment of severe psoriasis in morbidly obese patients.
Subject(s)
Gastric Bypass/methods , Obesity, Morbid/surgery , Psoriasis/therapy , Anastomosis, Roux-en-Y , Humans , Laparoscopy , Male , Middle Aged , Obesity, Morbid/complications , Psoriasis/complications , Remission Induction , Treatment Outcome , Weight LossABSTRACT
Esophageal perforation is a serious complication that requires prompt recognition and treatment. We present the case of a patient with lower esophageal perforation that apparently resulted from orogastric calibration-tube passage during laparoscopic placement of a gastric band. The complication was diagnosed early postoperatively, and was able to be successfully treated by laparoscopy,debanding, drainage, and parenteral nutrition.
