Pub Date : 2017-05-31DOI: 10.5812/MINSURGERY.21500
Hamzeh M. Halawani, S. Bakkar, G. Antanavicius
The Current Practice of Metabolic Surgery for the Treatment of Type 2 Diabetes Mellitus Hamzeh M. Halawani, Sohail Y. Bakkar, and Gintaras Antanavicius MD, FEBS Abington-Jefferson health, Institute of Metabolic and Bariatric Surgery, 1200 Old York Road, Abington, Pennsylvania MD, Department of Surgery, Faculty of Medicine, the Hashemite University, Zarqa 13133 MD, FACS, FASMBS Corresponding author: Hamzeh M. Halawani, MD, FEBS, Bariatric Fellow, Abington-Jefferson health, Institute of Metabolic and Bariatric Surgery, 1200 Old York Road, Abington, Pennsylvania. Tel: +1-2155526202, E-mail: halawani.md@gmail.com
Hamzeh M. Halawani, Sohail Y. Bakkar，和Gintaras Antanavicius医学博士，FEBS Abington- jefferson健康，代谢和减肥外科研究所，1200 Old York Road, Abington, Pennsylvania医学博士，hasemite大学医学院外科学系，Zarqa 13133医学博士，FACS, FASMBS通讯作者:Hamzeh M. Halawani，医学博士，FEBS，肥胖研究员，阿宾顿-杰斐逊健康，代谢和减肥手术研究所，1200老约克路，阿宾顿，宾夕法尼亚州。电话:+1-2155526202，邮箱:halawani.md@gmail.com
{"title":"The Current Practice of Metabolic Surgery for the Treatment of Type 2 Diabetes Mellitus","authors":"Hamzeh M. Halawani, S. Bakkar, G. Antanavicius","doi":"10.5812/MINSURGERY.21500","DOIUrl":"https://doi.org/10.5812/MINSURGERY.21500","url":null,"abstract":"The Current Practice of Metabolic Surgery for the Treatment of Type 2 Diabetes Mellitus Hamzeh M. Halawani, Sohail Y. Bakkar, and Gintaras Antanavicius MD, FEBS Abington-Jefferson health, Institute of Metabolic and Bariatric Surgery, 1200 Old York Road, Abington, Pennsylvania MD, Department of Surgery, Faculty of Medicine, the Hashemite University, Zarqa 13133 MD, FACS, FASMBS Corresponding author: Hamzeh M. Halawani, MD, FEBS, Bariatric Fellow, Abington-Jefferson health, Institute of Metabolic and Bariatric Surgery, 1200 Old York Road, Abington, Pennsylvania. Tel: +1-2155526202, E-mail: halawani.md@gmail.com","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121019815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-31DOI: 10.5812/MINSURGERY.12350
Masoud Sayadishahraki, A. Dehghan, M. Mahmoudieh, A. Sadeghi, Gholamreza Mohajeri, A. Bighamian
Introduction: After cessation of smoking, the best way to prevent health-threatening conditions is to treatment of obesity. Also, obesity treatment, cause alleviation or cure of other diseases. Bariatric surgery in selected obese patients is the best option for preventing health-threatening conditions. Despite the health benefits, this method of treatment -just like other surgical procedures- may be associated with various side effects. Case Presentation: A 55-year-old female with BMI of 46.5 underwent laparoscopic Omega Gastric bypass surgery. She was admitted due to dyspnea and pulmonary embolism 14 days later. In conducted surveys, platelet count was less than 25,000. In multiple assessments, no cause found for the thrombocytopenia. Corticosteroids prescribed for her with the diagnosis of ITP; which fully responded to treatment. Conclusions: Thrombocytopenia is a rare complication of gastric bypass surgery. Managements include rule out of other causes of thrombocytopenia and medical treatment.
{"title":"Idiopathic Thrombocytopenia After Omega Gastric Bypass Surgery: A Case Report","authors":"Masoud Sayadishahraki, A. Dehghan, M. Mahmoudieh, A. Sadeghi, Gholamreza Mohajeri, A. Bighamian","doi":"10.5812/MINSURGERY.12350","DOIUrl":"https://doi.org/10.5812/MINSURGERY.12350","url":null,"abstract":"Introduction: After cessation of smoking, the best way to prevent health-threatening conditions is to treatment of obesity. Also, obesity treatment, cause alleviation or cure of other diseases. Bariatric surgery in selected obese patients is the best option for preventing health-threatening conditions. Despite the health benefits, this method of treatment -just like other surgical procedures- may be associated with various side effects. Case Presentation: A 55-year-old female with BMI of 46.5 underwent laparoscopic Omega Gastric bypass surgery. She was admitted due to dyspnea and pulmonary embolism 14 days later. In conducted surveys, platelet count was less than 25,000. In multiple assessments, no cause found for the thrombocytopenia. Corticosteroids prescribed for her with the diagnosis of ITP; which fully responded to treatment. Conclusions: Thrombocytopenia is a rare complication of gastric bypass surgery. Managements include rule out of other causes of thrombocytopenia and medical treatment.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122264514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-31DOI: 10.5812/MINSURGERY.12040
R. Foroozesh, L. Sadati, Sedigheh Nosrati, S. Karami, A. Beyrami, Tayebeh Fasihi
Background: Parallel with the growing obesity problem in the world, the number of obese patients admitted to hospitals is soaring. With the hospitalization of the obese patients, healthcare team faces many challenges. Based on studies in many countries, most of the problems are related to inadequate equipment and space, shortage of nursing staff, high pressure on the staff for transferring patients, which causes physical damage. In this study, we examined problems related to the care of obese patients in Iran from the perspective of personnel in surgical wards and operating rooms. Methods: This cross-sectional study was conducted in 2015. Data were collected using a three-section researcher-made questionnaire completed by the staff. The first part collected demographic information, while the second part pertained to patient's problems and the challenges that the staff faced regarding equipment and clinical activities. The third part covered personnel’s opinion about priorities of care of obese patients. The collected data were analyzed by statistical tests in SPSS software, Chi-square test, fisher exact test and descriptive statistic. Results: Two hundred people participated (25% male and 75% female) in this study. Regarding the equipment, the biggest challenges for the personnel were related to the lifters and then the clothing and bed sheets. Concerning clinical activities, repositioning the patient (56.1%), transferring between the wards and clinics and changing clothes were the biggest challenges. The participants believe the priorities for obese patient care include employing more staff and supplying equipment. Conclusions: Taking the increasing number of obese patients in hospitals along with the importance of staff health, and providing appropriate patient care, it is necessary to provide the required equipment for obese patient care and to educate the staff for delivering high-quality care.
{"title":"Challenges in Nursing Care of Morbidly Obese Patients: Nurses’ Viewpoints","authors":"R. Foroozesh, L. Sadati, Sedigheh Nosrati, S. Karami, A. Beyrami, Tayebeh Fasihi","doi":"10.5812/MINSURGERY.12040","DOIUrl":"https://doi.org/10.5812/MINSURGERY.12040","url":null,"abstract":"Background: Parallel with the growing obesity problem in the world, the number of obese patients admitted to hospitals is soaring. With the hospitalization of the obese patients, healthcare team faces many challenges. Based on studies in many countries, most of the problems are related to inadequate equipment and space, shortage of nursing staff, high pressure on the staff for transferring patients, which causes physical damage. In this study, we examined problems related to the care of obese patients in Iran from the perspective of personnel in surgical wards and operating rooms. Methods: This cross-sectional study was conducted in 2015. Data were collected using a three-section researcher-made questionnaire completed by the staff. The first part collected demographic information, while the second part pertained to patient's problems and the challenges that the staff faced regarding equipment and clinical activities. The third part covered personnel’s opinion about priorities of care of obese patients. The collected data were analyzed by statistical tests in SPSS software, Chi-square test, fisher exact test and descriptive statistic. Results: Two hundred people participated (25% male and 75% female) in this study. Regarding the equipment, the biggest challenges for the personnel were related to the lifters and then the clothing and bed sheets. Concerning clinical activities, repositioning the patient (56.1%), transferring between the wards and clinics and changing clothes were the biggest challenges. The participants believe the priorities for obese patient care include employing more staff and supplying equipment. Conclusions: Taking the increasing number of obese patients in hospitals along with the importance of staff health, and providing appropriate patient care, it is necessary to provide the required equipment for obese patient care and to educate the staff for delivering high-quality care.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123135608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-31DOI: 10.5812/MINSURGERY.14442
H. Youseffam, M. Bagheri
Background: Necrotizingsofttissueinfections(NSTI(areamajorsurgicalcomplicationrelatingtoskinwounds. Althoughlaparo-scopic surgeries often cause minimal wound infection, NSTI is still a potentially fatal surgical complication. This article is going to report a case of necrotizing soft tissue infection (NSTI) following laparoscopic total colectomy. Case Presentation: An otherwise healthy 65-year-old woman with early stage of colon adenocarcinoma underwent laparoscopic colectomy. A diagnosis of NSTI was made five days after primary operation. The culture grew Enterococcus Faecalis (sensitive to: ciprofloxacin, ampicillin, vancomycin, Gentamycin and linezolid). The patient was treated with broad-spectrum antibiotics and surgical debridement. Conclusions: We report a case of NSTI with Enterococcus Faecalis following laparoscopic total colectomy. The isolated microorganism is not common in monobacterial NSTI. Administration of broad-spectrum antibiotics and surgical debridement help the patient to survive.
{"title":"Necrotizing Soft Tissue Infections in Laparoscopic Colectomy: A Case Report","authors":"H. Youseffam, M. Bagheri","doi":"10.5812/MINSURGERY.14442","DOIUrl":"https://doi.org/10.5812/MINSURGERY.14442","url":null,"abstract":"Background: Necrotizingsofttissueinfections(NSTI(areamajorsurgicalcomplicationrelatingtoskinwounds. Althoughlaparo-scopic surgeries often cause minimal wound infection, NSTI is still a potentially fatal surgical complication. This article is going to report a case of necrotizing soft tissue infection (NSTI) following laparoscopic total colectomy. Case Presentation: An otherwise healthy 65-year-old woman with early stage of colon adenocarcinoma underwent laparoscopic colectomy. A diagnosis of NSTI was made five days after primary operation. The culture grew Enterococcus Faecalis (sensitive to: ciprofloxacin, ampicillin, vancomycin, Gentamycin and linezolid). The patient was treated with broad-spectrum antibiotics and surgical debridement. Conclusions: We report a case of NSTI with Enterococcus Faecalis following laparoscopic total colectomy. The isolated microorganism is not common in monobacterial NSTI. Administration of broad-spectrum antibiotics and surgical debridement help the patient to survive.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129080216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-05-28DOI: 10.5812/MINSURGERY.14399
A. Babu, Ankit Raikhy, S. K. Choudhary, A. Bhartia, V. Bhartia
Introduction: The radiation proctitis is a known complication following the pelvic radiation therapy. Radiation proctitis is categorized as acute and chronic. Most of the cases are managed conservatively except in grade four chronic radiation proctitis, which active surgical management is needed. Previously these surgeries were done by conventional open technique. With the evolution of minimal access surgery it has now possible to do these surgeries by laparoscopic methods. Case Presentation: We here by present a case of 75 year old male patient presented with passage of dark colored blood mixed stools with tenesmus, pain and diarrhea. Patient had surgical history of transurethral resection of the prostrate (TURP) done for Benign Prostatic Hypertrophy. The tissue diagnosis of specimen was adenocarcinoma of prostate. Patient had received radiotherapy 9 months back for that prostatic carcinoma. The colonoscopy was suggestive of severe distal rectal proctitis, which was managed by laparoscopic proctectomy with partial sigmoidectomy and permanent end sigmoid colostomy. Conclusions: Laparoscopy has definitive role in management of chronic radiation proctitis, blessing the patient with benefits of minimal access surgery.
{"title":"Role of Laparoscopy in Radiation Proctitis: Case Report and Review of Literature","authors":"A. Babu, Ankit Raikhy, S. K. Choudhary, A. Bhartia, V. Bhartia","doi":"10.5812/MINSURGERY.14399","DOIUrl":"https://doi.org/10.5812/MINSURGERY.14399","url":null,"abstract":"Introduction: The radiation proctitis is a known complication following the pelvic radiation therapy. Radiation proctitis is categorized as acute and chronic. Most of the cases are managed conservatively except in grade four chronic radiation proctitis, which active surgical management is needed. Previously these surgeries were done by conventional open technique. With the evolution of minimal access surgery it has now possible to do these surgeries by laparoscopic methods. Case Presentation: We here by present a case of 75 year old male patient presented with passage of dark colored blood mixed stools with tenesmus, pain and diarrhea. Patient had surgical history of transurethral resection of the prostrate (TURP) done for Benign Prostatic Hypertrophy. The tissue diagnosis of specimen was adenocarcinoma of prostate. Patient had received radiotherapy 9 months back for that prostatic carcinoma. The colonoscopy was suggestive of severe distal rectal proctitis, which was managed by laparoscopic proctectomy with partial sigmoidectomy and permanent end sigmoid colostomy. Conclusions: Laparoscopy has definitive role in management of chronic radiation proctitis, blessing the patient with benefits of minimal access surgery.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129468717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-28DOI: 10.5812/MINSURGERY.45032
M. Kermansaravi, Mohsen Pazouki, S. Darabi, F. Eghbali
{"title":"New Techniques and Challenges in Minimally Invasive Surgeries; Highlights of 12th International Congress of Minimally Invasive Surgeries and Techniques (MISTIC 2016-Tehran)","authors":"M. Kermansaravi, Mohsen Pazouki, S. Darabi, F. Eghbali","doi":"10.5812/MINSURGERY.45032","DOIUrl":"https://doi.org/10.5812/MINSURGERY.45032","url":null,"abstract":"","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122609633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-28DOI: 10.5812/MINSURGERY.13964
A. Babu, Ankit Raikhy, Homagni Ghosh, P. Nayak, A. Bhartia, V. Bhartia
Background: Laparoscopic repair of duodenal perforation using the omental patch is one of the traditional techniques, which givesbetterpostoperativerecoveryinpatientswithlittlechancesof abdominalwoundinfection. Thisarticleisaboutthetechnique used for the laparoscopic repair of the duodenal perforation by Grahams patch with a twist in the conventional technique. Methods: In Hanging method of duodenal repair first, an intra-corporeal suture is taken at the upper margin of perforation and both end of the thread is taken out of anterior abdominal wall and duodenum is pulled up. Now under vision the next two parallel sutures are passed, thus avoiding the posterior duodenal wall incorporation. Finally omentum flap is used for the closure of perforation. Conclusions: The laparoscopic closure of the duodenal perforation by “Hanging Method” is an appropriate Laparoscopic tech-nique,as“hanging”theanteriorwallof duodenumgivesusbettervisionof theposteriorwallof duodenum,whiletakingthesuture through anterior duodenal wall. Further since the gall bladder is retracted there is an easy available working space for intracorporeal suturing.
{"title":"Laparoscopic Repair of Duodenal Perforation by “Hanging Method” -Technique and Benefits","authors":"A. Babu, Ankit Raikhy, Homagni Ghosh, P. Nayak, A. Bhartia, V. Bhartia","doi":"10.5812/MINSURGERY.13964","DOIUrl":"https://doi.org/10.5812/MINSURGERY.13964","url":null,"abstract":"Background: Laparoscopic repair of duodenal perforation using the omental patch is one of the traditional techniques, which givesbetterpostoperativerecoveryinpatientswithlittlechancesof abdominalwoundinfection. Thisarticleisaboutthetechnique used for the laparoscopic repair of the duodenal perforation by Grahams patch with a twist in the conventional technique. Methods: In Hanging method of duodenal repair first, an intra-corporeal suture is taken at the upper margin of perforation and both end of the thread is taken out of anterior abdominal wall and duodenum is pulled up. Now under vision the next two parallel sutures are passed, thus avoiding the posterior duodenal wall incorporation. Finally omentum flap is used for the closure of perforation. Conclusions: The laparoscopic closure of the duodenal perforation by “Hanging Method” is an appropriate Laparoscopic tech-nique,as“hanging”theanteriorwallof duodenumgivesusbettervisionof theposteriorwallof duodenum,whiletakingthesuture through anterior duodenal wall. Further since the gall bladder is retracted there is an easy available working space for intracorporeal suturing.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125657836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-28DOI: 10.5812/MINSURGERY.42470
S. Bakkar, P. Miccoli
Background: In the era of minimal access thyroid surgery, the terms minimal access and minimally invasive are often used interchangeably and in most instances this is far from being accurate. The aim of this article is to examine the characteristics and potential of one of the first minimal access thyroid procedures described; minimally invasive video-assisted thyroidectomy (MI-
{"title":"Minimally Invasive Video-Assisted Thyroidectomy (MIVAT) in the Era of Minimal Access Thyroid Surgery","authors":"S. Bakkar, P. Miccoli","doi":"10.5812/MINSURGERY.42470","DOIUrl":"https://doi.org/10.5812/MINSURGERY.42470","url":null,"abstract":"Background: In the era of minimal access thyroid surgery, the terms minimal access and minimally invasive are often used interchangeably and in most instances this is far from being accurate. The aim of this article is to examine the characteristics and potential of one of the first minimal access thyroid procedures described; minimally invasive video-assisted thyroidectomy (MI-","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114783265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-02-25DOI: 10.5812/MINSURGERY.43608
Parisa Janmohammadi, Parisa Janmohammadi, Gholamreza Mohammadi-Farsani, Gholamreza Mohammadi-Farsani, Hana Arghavani, Hana Arghavani, M. Arshad, Tayebeh Mokhber
Introduction: Klinefelter syndrome is a disorder of chromosomes in which common karyotype is (47XXY). Hypogonadism, gynecomastia and azoospermia could be detected in this syndrome. Decreased basal metabolic rate and interest in activities, loss of muscle mass, weight gain, the deficiency of sex hormone and mood changes cause obesity which cause morb obese in this case. Case Presentation: A 34-year-old morbid obese (BMI = 60.40) male was come to the Laporoscopy research center of Iran University of Medical science at 26 January 2016. He was diagnosed as Klinefelter syndrome by genetic testing (47XXY karyotype). He reported suffering from knee cellulitis, headache, low back pain and varices. His nutrition habits was fast eating, Sweet eating and Snack eating. The beginning of his obesity was in his childhood. The best treatment for his obesity and its side-effects is altering in his life style, low calorie diet. Finally, if these methodes fail to lose weigth, bariatric surgery is suggested. Conclusions: In morbid obese patients apporopriate diet, change in calorie intake and life style should be considered as a first line of treatment and finally, surgery may be an option to treat obesity. These two methodes can often help reduce the risk of other diseases (e.g., diabetes, heart disease, and sleep apnea) that are associated with severe obesity.
{"title":"Klinefelter Syndrome with Morbid Obesity Before Bariatric Surgery: A Case Report","authors":"Parisa Janmohammadi, Parisa Janmohammadi, Gholamreza Mohammadi-Farsani, Gholamreza Mohammadi-Farsani, Hana Arghavani, Hana Arghavani, M. Arshad, Tayebeh Mokhber","doi":"10.5812/MINSURGERY.43608","DOIUrl":"https://doi.org/10.5812/MINSURGERY.43608","url":null,"abstract":"Introduction: Klinefelter syndrome is a disorder of chromosomes in which common karyotype is (47XXY). Hypogonadism, gynecomastia and azoospermia could be detected in this syndrome. Decreased basal metabolic rate and interest in activities, loss of muscle mass, weight gain, the deficiency of sex hormone and mood changes cause obesity which cause morb obese in this case. Case Presentation: A 34-year-old morbid obese (BMI = 60.40) male was come to the Laporoscopy research center of Iran University of Medical science at 26 January 2016. He was diagnosed as Klinefelter syndrome by genetic testing (47XXY karyotype). He reported suffering from knee cellulitis, headache, low back pain and varices. His nutrition habits was fast eating, Sweet eating and Snack eating. The beginning of his obesity was in his childhood. The best treatment for his obesity and its side-effects is altering in his life style, low calorie diet. Finally, if these methodes fail to lose weigth, bariatric surgery is suggested. Conclusions: In morbid obese patients apporopriate diet, change in calorie intake and life style should be considered as a first line of treatment and finally, surgery may be an option to treat obesity. These two methodes can often help reduce the risk of other diseases (e.g., diabetes, heart disease, and sleep apnea) that are associated with severe obesity.","PeriodicalId":158928,"journal":{"name":"Journal of Minimally Invasive Surgical Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126205483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：