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Perioperative outcomes of bariatric surgery in the setting of chronic steroid use: an MBSAQIP database analysis.慢性类固醇使用患者行减重手术的围手术期结局：MBSAQIP 数据库分析。
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2
Efficacy and safety of bariatric surgery for craniopharyngioma-related hypothalamic obesity: a matched case-control study with 2 years of follow-up.减肥手术治疗颅咽管瘤相关性下丘脑性肥胖的疗效与安全性：一项为期2年随访的配对病例对照研究
Int J Obes (Lond). 2017 Feb;41(2):210-216. doi: 10.1038/ijo.2016.195. Epub 2016 Oct 31.
3
Expanded indications for bariatric surgery: should patients on chronic steroids be offered bariatric procedures?减肥手术的扩展适应症：是否应为长期服用类固醇的患者提供减肥手术？
Surg Obes Relat Dis. 2017 Jan;13(1):35-40. doi: 10.1016/j.soard.2015.10.086. Epub 2015 Nov 4.
4
Consensus statement on the diagnosis, treatment and follow-up of patients with primary adrenal insufficiency.原发性肾上腺功能不全患者的诊断、治疗和随访共识声明。
J Intern Med. 2014 Feb;275(2):104-15. doi: 10.1111/joim.12162. Epub 2013 Dec 16.
5
Clinical review: Bariatric surgery following treatment for craniopharyngioma: a systematic review and individual-level data meta-analysis.临床综述：颅咽管瘤治疗后的减重手术：系统回顾和个体水平数据荟萃分析。
J Clin Endocrinol Metab. 2013 Jun;98(6):2239-46. doi: 10.1210/jc.2012-4184. Epub 2013 Mar 26.
6
Distal gastric bypass surgery for the treatment of hypothalamic obesity after childhood craniopharyngioma.远端胃旁路手术治疗儿童颅咽管瘤后下丘脑性肥胖
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7
Effects of bariatric surgery on mortality in Swedish obese subjects.减肥手术对瑞典肥胖受试者死亡率的影响。
N Engl J Med. 2007 Aug 23;357(8):741-52. doi: 10.1056/NEJMoa066254.
8
Gastric bypass surgery for treatment of hypothalamic obesity after craniopharyngioma therapy.胃旁路手术治疗颅咽管瘤治疗后下丘脑性肥胖。
Nat Clin Pract Endocrinol Metab. 2007 Aug;3(8):606-9. doi: 10.1038/ncpendmet0579.
9
Bariatric surgery for morbid obesity.针对病态肥胖的减肥手术。
N Engl J Med. 2007 May 24;356(21):2176-83. doi: 10.1056/NEJMct067019.
10
Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study.重度肥胖手术治疗与传统治疗后健康相关生活质量的十年趋势：SOS干预研究
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原发性肾上腺功能不全患者的腹腔镜袖状胃切除术：一例报告

Laparoscopic sleeve gastrectomy in a patient with primary adrenal insufficiency: a case report.

作者信息

Nemri Abdulrhman Ahmed, Alshehri Khalid, Alshahrani Amer, Abdulhaq Monera, Alageel Abrar Hamad

机构信息

Security Forces Hospital in Riyadh, General Surgery, Salah Ad Din Al Ayyubi Rd, Riyadh 11481, Saudi Arabia.

Security Forces Hospital in Riyadh, Surgery, Salah Ad Din Al Ayyubi Rd, Riyadh 11564, Saudi Arabia.

出版信息

J Surg Case Rep. 2025 Apr 2;2025(4):rjaf156. doi: 10.1093/jscr/rjaf156. eCollection 2025 Apr.

DOI:10.1093/jscr/rjaf156
PMID:40177058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11961352/
Abstract

This case report discusses the successful application of laparoscopic sleeve gastrectomy (LSG) in a 17-year-old patient diagnosed with primary adrenal insufficiency (PAI). The patient presented with severe obesity (BMI > 60 kg/m) along with metabolic issues, including dyslipidemia and pre-diabetes. After failing conservative weight loss approaches and with significant binge eating behaviors, surgical intervention was deemed necessary. Despite the risks associated with steroid use in the surgical context, the patient underwent LSG with careful perioperative steroid management. His post operative recovery was uneventful, with no complications or adrenal crisis. Over the course of one year, he achieved a weight loss of 69 kg, reflecting a 37.7% reduction, indicating a significant improvement in his health status. This report highlights the feasibility and safety of LSG in patients with PAI and provides valuable insights into bariatric surgery outcomes in this unique population.

摘要

本病例报告讨论了腹腔镜袖状胃切除术（LSG）在一名诊断为原发性肾上腺功能不全（PAI）的17岁患者中的成功应用。该患者表现为严重肥胖（BMI>60kg/m²）以及代谢问题，包括血脂异常和糖尿病前期。在保守减肥方法失败且存在严重暴饮暴食行为后，手术干预被认为是必要的。尽管在手术中使用类固醇存在风险，但患者在围手术期进行了仔细的类固醇管理后接受了LSG。他术后恢复顺利，没有并发症或肾上腺危象。在一年的时间里，他体重减轻了69kg，减重37.7%，表明其健康状况有了显著改善。本报告强调了LSG在PAI患者中的可行性和安全性，并为这一独特人群的减肥手术结果提供了有价值的见解。