Bariatric Surgery In Individuals With Severe Cognitive Impairment: Report Of Two Cases

Cirurgia Bariátrica Em Indivíduos Com Déficits Cognitivos Graves: Relato De Dois Casos

dc.creatorCazzo
dc.creatorEverton; Gestic
dc.creatorMartinho Antonio; Utrini
dc.creatorMurillo Pimentel; Chaim
dc.creatorFelipe David Mendonça; Cândido
dc.creatorElaine Cristina; Jarolavsky
dc.creatorLuciana Bueno da Silveira; Almeida
dc.creatorAna Maria Neder de; Pareja
dc.creatorJosé Carlos; Chaim
dc.creatorElinton Adami
dc.date2017
dc.date2017-08-30T17:37:10Z
dc.date2017-08-30T17:37:10Z
dc.date.accessioned2018-03-29T05:29:57Z
dc.date.available2018-03-29T05:29:57Z
dc.identifierSao Paulo Medical Journal. Associação Paulista De Medicina - Apm, p.
dc.identifier1516-3180
dc.identifierS1516-31802017005006105
dc.identifierhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017005006105&lng=en&tlng=en
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/324716
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1358934
dc.descriptionBariatric surgery has become the gold-standard treatment for refractory morbid obesity. Obesity is frequently associated with certain syndromes that include coexisting cognitive deficits. However, the outcomes from bariatric surgery in this group of individuals remain incompletely determined. CASE REPORT: A 25-year-old male with Prader-Willi syndrome, whose intelligence quotient (IQ) was 54, was admitted with a body mass index (BMI) of 55 kg/m2, associated with glucose intolerance. He underwent the Scopinaro procedure for biliopancreatic diversion, with uneventful postoperative evolution, and presented a 55% loss of excess weight one year after the surgery, with resolution of glucose intolerance, and without any manifestation of protein-calorie malnutrition. A 28-year-old male with Down syndrome, whose IQ was 68, was admitted with BMI of 41.5 kg/m2, associated with hypertension. He underwent Roux-en-Y gastric bypass, with uneventful postoperative evolution. He presented a 90% loss of excess weight one year after the surgery, with resolution of the hypertension. CONCLUSION: Bariatric surgery among individuals with intellectual impairment is a controversial topic. There is a tendency among these individuals to present significant weight loss and comorbidity control, but less than what is observed in the general obese population. The severity of the intellectual impairment may be taken into consideration in the decision-making process regarding the most appropriate surgical technique. Bariatric surgery is feasible and safe among these individuals, but further research is necessary to deepen these observations.
dc.languageIngles
dc.publisherAssociação Paulista de Medicina - APM
dc.relationSao Paulo Medical Journal
dc.rightsaberto
dc.sourceScielo
dc.subjectPrader-willi Syndrome
dc.subjectDown Syndrome
dc.subjectBariatric Surgery
dc.subjectObesity
dc.subjectIntellectual Disability
dc.subjectSíndrome De Prader-willi
dc.subjectSíndrome De Down
dc.subjectCirurgia Bariátrica
dc.subjectObesidade
dc.subjectDeficiência Intelectual
dc.titleBariatric Surgery In Individuals With Severe Cognitive Impairment: Report Of Two Cases
dc.titleCirurgia Bariátrica Em Indivíduos Com Déficits Cognitivos Graves: Relato De Dois Casos
dc.typeArtículos de revistas


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