Impact of bariatric surgery on clinical outcome in LOPD.

Mattia Porcino, Fabio Guccione, Cristian Usbergo, Giuseppe Navarra, Antonio Toscano, Olimpia Musumeci
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Abstract

Objective: This case study aimed to evaluate the safety and efficacy of sleeve gastrectomy surgery in an obese patient with Late-onset Pompe disease (LOPD) and to explore the potential role of bariatric surgery in improving clinical outcomes and promoting a more physiological body composition when dietary and physical interventions fail.

Methods: We describe a case of an obese LOPD patient who underwent sleeve gastrectomy, with clinical follow-up conducted to monitor motor and respiratory functions, as well as patient-reported outcome measures (PROMs), over time.

Results: The surgery was well-tolerated without significant complications, and prolonged stability in motor and respiratory functions was observed. Furthermore, the patient reported improvements in quality of life and PROMs following weight loss.

Conclusion: This case suggests that bariatric surgery, specifically sleeve gastrectomy, may be a safe and effective complementary strategy for weight loss in LOPD patients, offering benefits in functional stability, and quality of life.

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减肥手术对LOPD临床预后的影响。
目的:本病例研究旨在评估套管胃切除术治疗肥胖伴晚发型庞培病(LOPD)患者的安全性和有效性,并探讨在饮食和身体干预失败时,减肥手术在改善临床结果和促进更生理的身体组成方面的潜在作用。方法:我们描述了一例接受袖胃切除术的肥胖LOPD患者,并进行了临床随访,以监测运动和呼吸功能,以及患者报告的结果测量(PROMs)。结果:手术耐受性良好,无明显并发症,运动和呼吸功能长期稳定。此外,患者报告体重减轻后生活质量和PROMs有所改善。结论:本病例提示,减肥手术,特别是袖胃切除术,可能是LOPD患者减肥的一种安全有效的补充策略,在功能稳定性和生活质量方面都有好处。
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