Sleeve gastrectomy may not be an appropriate weight loss operation in patients with diffuse idiopathic skeletal hyperostosis
Aim-background Diffuse idiopathic skeletal hyperostosis (DISH) is a common disease among obese patients, though not easily suspected in obesity surgery departments. Case report We present the case of a 40-year-old woman with morbid obesity (BMI of 43kgr/m2) and undiagnosed DISH who underwent a lapar...
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| Published in: | Hellenic journal of surgery Vol. 85; no. 6; pp. 399 - 402 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Vienna
Springer Vienna
01-11-2013
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Aim-background
Diffuse idiopathic skeletal hyperostosis (DISH) is a common disease among obese patients, though not easily suspected in obesity surgery departments.
Case report
We present the case of a 40-year-old woman with morbid obesity (BMI of 43kgr/m2) and undiagnosed DISH who underwent a laparoscopic sleeve gastrectomy (LSG). Postoperatively, she presented serious dysphagia and failure to lose weight.
Results
The patient complained of severe dysphagia postoperatively, for solid foods and cooked meals in particular. A gastroscopy and upper gastrointestinal swallow radiographs did not show stenosis. Dysphagia led the patient to a high-calorie low-viscosity diet and inability to lose weight. Two years after the operation, the patient underwent radiography and MRI of the thoracic and lumbar spine due to chronic low back pain; the diagnosis of DISH was set by a rheumatologist.
Conclusion
Patients with DISH may not be good candidates for restrictive bariatric operations. Patients presenting to morbid obesity surgical departments require a full investigation of all possible underlying causes of obesity, including DISH. |
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| ISSN: | 0018-0092 1868-8845 |
| DOI: | 10.1007/s13126-013-0074-9 |