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Type: Artigo
Title: Bariatric Surgery In Individuals With Severe Cognitive Impairment: Report Of Two Cases
Title Alternative: Cirurgia Bariátrica Em Indivíduos Com Déficits Cognitivos Graves: Relato De Dois Casos
Author: Cazzo
Everton; Gestic
Martinho Antonio; Utrini
Murillo Pimentel; Chaim
Felipe David Mendonça; Cândido
Elaine Cristina; Jarolavsky
Luciana Bueno da Silveira; Almeida
Ana Maria Neder de; Pareja
José Carlos; Chaim
Elinton Adami
Abstract: Bariatric 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.
Subject: Prader-willi Syndrome
Down Syndrome
Bariatric Surgery
Intellectual Disability
Síndrome De Prader-willi
Síndrome De Down
Cirurgia Bariátrica
Deficiência Intelectual
Editor: Associação Paulista de Medicina - APM
Rights: aberto
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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