A model case of a positive outcome in super-super obesity

摘要: What this study shows  Followingmultidisciplinarycareincludingtwo-stepbariatricintervention, the loss of excess body weight was followed by remission numerous obesity-related comorbidities and a concomitant pro- nounced increase in quality life. Eventually, patient able to lead normal life with decreased risk long-term complications. We attribute positive outcome combined presence favourable determinants. Summary For an increasing number obese patients, bariatric surgery is considered as treatment choice after failure conventional strategies. While studies on have shown substantial health benefits, there broad inter-individual variation outcome, which insufficiently understood. Here we show following multidis- ciplinary care super-super-obese patient. The suffered from typically obesity-associated limitations. He underwent multi- disciplinary including two-step intervention. Endoscopic intragas- tric balloon positioning gastric sleeve without Roux-en-Y bypass. His dropped 260 kg (body mass index (BMI) 79.4 m -2 ) 85 (BMI 25.9 within 16 months continued be stable at 90 27.8 end follow-up period 48 months. associated pronounced socioeconomic status. compli- cations. potential determinants: individualized surgery, multidisciplinary care, patient's compliance, adequate adherence aftercare, physical exercise family support, cooperation primary physician financial coverage insurance. Some these factors remain evaluated predictors prospective trials.