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January 19, 2019Journal of Surgical Case ReportsOpen Access

Bariatric surgery and the evaluation of subclinical systemic lymphedema

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Key result

Bariatric surgery and ~40 kg weight loss resolved clinical lymphedema in one patient despite fluid retention.

  • n=1

Why the study?

The study aimed to report the improvement in clinical lymphedema in a patient transitioning from morbid obesity to overweight following bariatric surgery.

Does bariatric surgery and weight loss improve clinical lymphedema in morbidly obese patients?

Population

One 52-year-old female patient with morbid obesity and clinical stage II lymphedema

Design

Case report

Authors

JGJosé Maria Pereira de GodoyHospital de BaseLGLívia Maria Pereira de GodoyNational Council for Scientific and Technological DevelopmentAGAna Carolina Pereira de Godoy

Discussion

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Implication

May support weight loss for lymphedema; hypothesis-generating case report leaves efficacy unproven.

Study Design

Type

Case Report (n=1)

Structured PICO

Does bariatric surgery and weight loss improve clinical lymphedema in morbidly obese patients?

P
Population
A 52-year-old female patient with morbid obesity and clinical stage II lymphedema evaluated 8 years after bariatric surgery.
I
Intervention
Bariatric surgery and subsequent weight loss
O
Outcome
Improvement in clinical lymphedema and evaluation of subclinical systemic lymphedema via electrical bioimpedance analysissurrogate

Bariatric surgery and significant weight loss may resolve clinical symptoms of lymphedema in morbidly obese patients, though subclinical fluid retention may persist.

Cite This Study

Godoy et al. (2019) conducted a case report in Morbid obesity and clinical lymphedema (n=1). Bariatric surgery was evaluated on Clinical lymphedema and electrical bioimpedance analysis. Bariatric surgery and subsequent 40 kg weight loss resolved clinical stage II lymphedema in a 52-year-old female, though bioimpedance showed increased limb and trunk fluids 8 years post-surgery.

synapsesocial.com/papers/6aa669546cd58dd9e9f4e119https://doi.org/10.1093/jscr/rjz028
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bariatric Surgery and Cardiovascular Risk Factors2011 · 339 citations
  2. 2Bariatric Surgery and Long-term Cardiovascular Events2012 · 1,656 citations
  3. 3Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery2004 · 4,489 citations
  4. 4Obesity‐induced lymphatic dysfunction is reversible with weight loss2016 · 99 citations
  5. 5Peripheral Lymphocytes, Obesity, and Metabolic Syndrome in Young Adults: An Immunometabolism Study2018 · 53 citations