A combination of drug, behavioral and surgical therapy to relieve from severe obesity complicated with multiple organs failure: A case report.

RATIONALE

The prevalence of obesity and its associated complications is on the rise globally. Bariatric surgery has proven to be a very effective method to induce sustained weight loss as well as reduce obesity-related diseases, such as type 2 diabetes, hypertension and hyperlipemia.

PATIENT CONCERNS

The 30-year-old female patient, with BMI at 79.2 kg/m2 and abdominal circumference at 199 cm, gained weight continually, felt chest tightness and shortness of breath for 10 days.

DIAGNOSES

The patient was diagnosed with severe obesity complicated with multiple organs failure.

INTERVENTIONS

The patient was given a personal diet plan to lose weight. Besides, she was given noninvasive ventilator to improve ventilation dysfunction during night sleep, and hypoglycemic therapy and treatment of pulmonary hypertension were given to improve heart failure. When the weight was effectively reduced, bariatric surgery was performed to reduce weight more remarkable.

OUTCOMES

One month after surgery, the overall weight of the patient was significantly reduced with meliorative BMI at 58.6, and the blood glucose was significantly reduced to the normal level and her overall physique was thin down and slimmer than before.

LESSONS

Multi-disciplinary combination and comprehensive treatment can effectively reduce the risk of surgery. Moreover, surgery should not be performed as soon as possible for patients with extremely severe obesity, and preoperative weight loss can improve the organs function of patients.