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Intragastric Balloon Followed by Biliopancreatic Diversion in a Liver Transplant Recipient: A Case Report

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Abstract

Liver transplantation is a life-saving procedure for end-stage liver disease. In liver transplant recipients, morbid obesity influences post-operative survival and graft function. In 1996, our patient underwent a successful liver transplantation because of a HCV-related liver failure (body mass index (BMI) 31). Follow-up showed a functional graft and the development of severe obesity up to a BMI of 61 in January 2006. In January 2007, he was submitted to intragastric balloon therapy for 6 months, reaching a BMI of 54. In September 2007, he underwent a biliopancreatic diversion. During follow-up to March 2008, he reached a BMI of 42 with ameliorations of comorbidities. In May 2008, during a hospital admission, he suddenly died of a heart attack. Post mortem study revealed a myocardial infarction. This is the first world case report for this approach. According to our opinion, patient’s death was not related to bariatric surgery.

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Authors and Affiliations

  1. Department of Surgery, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy

    Paolo Gentileschi, Marco Venza, Domenico Benavoli, Francesca Lirosi, Ida Camperchioli, Marco D’Eletto, Alessandra Lazzaro, Vito M. Stolfi, Nicola Di Lorenzo & Achille L. Gaspari

  2. Liver Transplant Unit, University of Tor Vergata, P.le dell’Umanesimo 10, 00144, Rome, Italy

    Alessandro Anselmo & Giuseppe Tisone

Authors
  1. Paolo Gentileschi
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  2. Marco Venza
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  3. Domenico Benavoli
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  4. Francesca Lirosi
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  5. Ida Camperchioli
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  6. Marco D’Eletto
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  7. Alessandra Lazzaro
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  8. Vito M. Stolfi
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  9. Alessandro Anselmo
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  10. Nicola Di Lorenzo
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  11. Giuseppe Tisone
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  12. Achille L. Gaspari
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Corresponding author

Correspondence to Paolo Gentileschi.

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Gentileschi, P., Venza, M., Benavoli, D. et al. Intragastric Balloon Followed by Biliopancreatic Diversion in a Liver Transplant Recipient: A Case Report. OBES SURG 19, 1460–1463 (2009). https://doi.org/10.1007/s11695-009-9877-8

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  • DOI: https://doi.org/10.1007/s11695-009-9877-8

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