A CASE OF PRADER-WILLI SYNDROME UNDERGONE A VERTICAL BANDED GASTROPLASTY

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  • 垂直遮断胃形成術を施行したPrader-Willi症候群の1例

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Abstract

A 24-year-old woman with Prader-Willi syndrome (PWS) underwent a vertical banded gastroplasty (VBG), which is one of surgical procedures for extreme obesity, because she was extremely obese and developed diabetes mellitus as well. During perioperative period, no severe complications occurred. The body weight decreased to 60.0kg at 7th postoperative month from preoperative weight of 75.0kg. Fasting blood sugar was almost normalized around 5 months after the operation. However. thereafter the body weight converted to increase and the control of blood sugar level became poor again. The reasons may include that a total food intake has increased due to abnormal feeding behavior characteristic of PWS as well as a temporal withdrawal of medication, and she favors to eat high caloric foods. Since extreme obesity with diabetes mellitus in PWS has complicated factors compared with those of simple of extreme obesity, further investigation about therapies of PWS are necessary.

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