[
Abstract]
[
Full Text PDF] （in Japanese / 758KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 92(3): 357-359, 1991
Case report
A CASE OF PICKWICKIAN SYNDROME WITH IMPROVEMENT OF OBESITY-RELATED SLEEP APNEA FOLLOWING VERTICAL BANDED GASTROPLASTY
The patient was 22-year' old male who had suffered from hypermotility during sleep and excessive daytime sleepiness, and 270% in excess body weight. Values of arterial blood gas analysis during sleep were 65mmHg in PaCO
2 and 19mmHg in PaO
2. He was diagnosed as morbid obesity with Pickwickian syndrome and underwent vertical banded gastroplasty.His body weight decreased from 170kg to 113kg four months after surgery and 107kg one year after surgery.The whole-night polyhypnographic sleep study was performed before and after operation and showed dramatic lmprovement of apnea index which was calculated by dividing the number of apneas by the total sleep time.We analyzed 199 case reports which had noted symptoms of Pickwickian syndrome between 1963 and 1989 in Japan. In many reported cases, body weight decreased transiently but returned to the level before medical treatment.Under these considerations,gastroplasty is a beneficial surgical treatment for the morbid obesity with Pickwickian syndrome.
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