Pereira de Godoy Jose Maria, Pereira de Godoy Lívia Maria, Pereira de Godoy Ana Carolina, Guerreiro Godoy Maria de Fatima
Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto (FAMERP), CNPq (National Council for Research and Development), Brazil.
Clinic General in Medicine School of Marilia-São Paulo-Brazil (FANEMA), São José do Rio Preto, SP, Brazil.
J Surg Case Rep. 2019 Feb 8;2019(2):rjz028. doi: 10.1093/jscr/rjz028. eCollection 2019 Feb.
The aim of the study was to report an improvement in clinical lymphedema in a patient who went from morbid obesity to overweight following bariatric surgery. A 52-year-old female patient reported having undergone bariatric surgery with a body mass index (BMI) of 51.2 kg/m, losing 40 kg and arriving at her current BMI of 37.1 kg/m. She would previously awake with bilateral edema that involved her feet and worsened throughout the day, corresponding to clinical stage II lymphedema, and currently no longer had this problem. Eight years after the surgery and weight loss, the patient was submitted to electrical bioimpedance analysis, which revealed an increase in total intracellular and extracellular fluids in the limbs and trunk. Active exercise and further weight loss were recommended. This study paves a path for a new line of investigation in the treatment of obesity and changes in the lymphatic system caused by obesity.
该研究的目的是报告一名患者在接受减肥手术后，从病态肥胖转变为超重，其临床淋巴水肿得到改善。一名52岁的女性患者报告称，她接受了体重指数（BMI）为51.2kg/m²的减肥手术，体重减轻了40kg，目前BMI为37.1kg/m²。她之前醒来时双脚会出现双侧水肿，且一整天都会加重，这符合临床II期淋巴水肿，而目前她不再有这个问题。在手术和体重减轻八年后，该患者接受了生物电阻抗分析，结果显示四肢和躯干的细胞内和细胞外总液体量增加。建议进行主动运动并进一步减轻体重。这项研究为肥胖治疗以及肥胖引起的淋巴系统变化的新研究方向铺平了道路。
