Laparoscopic Sleeve Gastroplasty in a patient with cirrhosis and diabetes: a case report

Abstract

Introduction: The percentage of obese people is growing at a rapid pace, increasing the number of patients the number of patients undergoing bariatric surgery. It is known that non-alcoholic fatty liver disease is known to progress to cirrhosis. Currently there is no consensus about the surgical technique indicated for the cirrhotic patient who will cirrhotic patient who will undergo bariatric surgery. Gastric bypass surgery in Y is a classic technique widely used. However, when compared with the gastric Sleeve, the by-pass has disadvantages such as more difficult technique, longer surgical time, and more postoperative postoperative and nutritional complications. Case Presentation: Obese, hypertensive, diabetic patient who had his RYGB suspended after the intraoperative finding of cirrhosis. He was subsequently classified as CHILD A and underwent vertical gastrectomy. After one year of follow-up he presented good weight loss, good control of hypertension, diabetes arterial hypertension, diabetes, and improved liver function and lipid profile. Conclusion: It is understood, that gastric Sleeve may soon become the surgery of choice for cirrhotic patients CHILD A.