RELATO DE CASO: CIRURGIA BARIÁTRICA EM PACIENTE COM ACONDROPLASIA

• DOI: 10.22533/at.ed.07219030920

• Palavras-chave: obesidade, acondroplasia, cirurgia bariátrica.

• Keywords: Obesity, achondroplasia, bariatric surgery.

• Abstract:

  INTRODUCTION: Acondroplasia is the most common non-lethal skeletal

  dysplasia in which there is a disproportion between the development of bone and

  neural structures. The patient with achondroplasia often presents obesity in different

  grades. Bariatric surgery (CB), a more efficient treatment for obesity, has shown great

  results in obese patients. However, the results of CB in individuals with achondroplasia

  have not yet been demonstrated in the literature. OBJECTIVE: To report a case of

  CB in a patient with achondroplasia. METHOD: This is a case report of a patient with

  achondroplasic dwarfism submitted to CB in 2011 in the city of Porto Alegre, Rio

  Grande do Sul. CASE REPORT: A 34-year-old female patient with achondroplasia and

  severe obesity, 120 cm in height, weight 78 kg, body mass index of 54.17 kg/m². She

  had herniated discs, with no more associated diseases. She was referred to Roux-Y

  gastric bypass. The procedure was without complications in terms of anesthesia and

  intraoperative course. Weight loss was monitored every 30 days for up to 6 months

  after the procedure. At the end of the follow-up, presenting 48.5 kg and body mass

  index of 30.4 kg/m². CONCLUSION: CB in a patient with achondroplasia is a challenge

  for the multidisciplinary team, because there are no relevant data in the literature. The

  judicious evaluation of the multidisciplinary team and the pre, trans and postoperative

  follow-up should be judicious and can directly influence the success of the treatment

  through CB.

• Número de páginas: 15