Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report

doi:10.3877/cma.j.issn.2095-9605.2023.02.012

Abstract

Abstract:

With the improvement of living standards, the incidence of obesity increasesyear by year.Laparoscopic sleeve gastrectomy is currently one of the most effective ways to achieve weight loss and solve related health problems,rheumatic heart disease is damage to the heart valves caused by repeated attacks of rheumatic fever.This article summarizes the management and treatment of an obese patient complicated with rheumatic heart disease during laparoscopic sleeve gastrectomy and anesthesia, and summarizes the relevant treatment experience.

Key words: Laparoscopic surgery, Sleeve gastrectomy, Rheumatic heart disease, Anaesthesia, Bariatric surgery

Xin Tong, Yi He, Ying Zhou, Qiang Fu. Anesthesia management of obese patient with rheumatic heart disease treated by laparoscopic sleeve gastrectomy: a case report[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(02): 143-145.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhfpydxbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9605.2023.02.012

https://zhfpydxbdzzz.cma-cmc.com.cn/EN/Y2023/V09/I02/143

References 12

[1]	Bruce MW, Elizaveta K, Robert HE. Treatment of Obesity: Weight Loss and Bariatric Surgery [J]. Circulation research, 2016, 118(11): 1844-1855.
[2]	Sjöström L, Narbro K, Sjöström CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects [J]. The New England journal of medicine, 2007, 357(8): 741-752.
[3]	Lim CP, Fisher OM, Falkenback D, et al. Bariatric surgery provides a "bridge to transplant" for morbidly obese patients with advanced heart failure and may obviate the need for transplantation [J]. Obesity surgery, 2016, 26(3): 486-493.
[4]	Yacoub M, Mayosi B, Elguindy A, et al. Eliminating acute rheumatic fever and rheumatic heart disease [J]. Lancet, 2017, 390(10091): 212-213.
[5]	Vervoort D, Antunes MJ, Pezzella AT. Rheumatic heart disease: The role of global cardiac surgery [J]. Journal of Cardiac Surgery. 202136(8): 2857-2864.
[6]	Passos LSA, Nunes MCP, Aikawa E.Rheumatic heart valve disease pathophysiology and underlying mechanisms [J]. Frontiers in cardiovascular medicine, 2021: 612716.
[7]	Buchwald H. Metabolic/bariatric surgery worldwide 2011 [J]. Obesity surgery, 2013, 23(4): 427-436.
[8]	熊逸波, 黄韦歆, 梅亮, 等. 扩张型心肌病患者的减重手术麻醉管理1例 [J/CD]. 中华肥胖与代谢病电子杂志, 2020, 6(4): 4.
[9]	Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome [J]. Obesity Surgery, 2006, 16(10): 1323-1326.
[10]	黄秀丽, 崔旭蕾. 扩张型心肌病全心衰竭合并重度睡眠呼吸暂停综合征患者麻醉处理1例 [J]. 广东医学, 2018, 39(23): 1.
[11]	Pourfakhr P, Aghabagheri M, Zabihi MH, et al.Prophylactic administration of diphenhydramine/acetaminophen and ondansetron reduced postoperative nausea and vomiting and pain following laparoscopic sleeve gastrectomy: a randomized controlled trial [J]. Obesity surgery, 2021, 31(10): 4371-4375.
[12]	Naeem Z, Chen IL, Pryor AD, et al.Antiemetic prophylaxis and anesthetic approaches to reduce postoperative nausea and vomiting in bariatric surgery patients: a systematic review [J]. Obesity Surgery, 2020, 30(8): 3188-3200.

[1]	Kailun Ji, Shaolong Hao, Haitao Sun, Wei Han. New progress of gallstone formation mechanism after weight loss [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 100-103.
[2]	Xiaohui Li, Changsheng Shangguan, Ying Xiang, Zhijie Pei, Junzhi Che, Fei Xie. Relationship between body energy metabolism and sex hormone levels in patients with polycystic ovary syndrome after 3D laparoscopic sleeve gastrectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 538-541.
[3]	Ming Zhu, Guoyu Tong, Haiteng Zhao, Liang Zhong, Xiangyu Zou, Shaofeng Wu, Yinan Zhang. Clinical significance of laparoscopic technique in reducing secondary surgery of occult inguinal hernia and hydrocele of children [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(05): 457-460.
[4]	Ning Liu, Weimin Geng, Kunqiang Liu. Comparative analysis of second stage open and laparoscopic surgery for high abdominal cryptorchidism Fowler-Stephen surgery [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(03): 299-302.
[5]	National Research Collaboration Group for Gynaecological Laparoendoscopic Single-site Surgery of Obstetricians and Gynaecologists Branch of Chinese Medical Doctor Association. Expert consensus on the clinical application of combined laparoscopic and extracorporeal operation mode for gynaecological laparoendoscopic single-site surgery [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(04): 200-209.
[6]	Zhao Niu, Bo Li, Wanfu Zhang, Wendi Jin, Chunxiao Wang, Xiaogang Li. Safety and efficacy of laparoscopic sleeve gastrectomy combined with cholecystectomy in treatment of obesity complicated with cholecystolithiasis [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 635-639.
[7]	Wenlong Qiu, Junguang Liu, Gang Hu, Shiwen Mei, Jianqiang Tang. Long-term survival and risk factors analysis of laparoscopic intersphincteric resection for ultralow rectal cancers [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(03): 207-213.
[8]	Xiuyan Sun, Qinglei Xu, Pengtao Ma, Zhiyuan Hu, Chuanzhen Guo, Chenghong Zhu. Correlation analysis of body temperature changes during laparoscopic radical gastrectomy with pressure injury and microenvironment of the compression site [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 480-484.
[9]	Hongqing Ma, Miao Yu, Jianfeng Zhang, Xueliang Wu, Xvhua Hu, Guanglin Wang, Zesong Meng, Bin Yv, Guiying Wang. Efficacy of hybrid versus traditional central approach for laparoscopic radical resection of rectal cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(05): 545-550.
[10]	Wenxing Gao, Hao Liu, Wen Zhao, Dingchang Li, Peng Chen, Lujia Jin, Xianqiang Liu, Guanglong Dong. Chronic abdominal pain after bariatric surgery: causes and countermeasures [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 149-154.
[11]	Geng Wang, Zefeng Xia, Kaixiong Tao. Effects of bariatric surgery on non-obese type 2 diabetes mellitus [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 155-160.
[12]	Wenmao Yan, Haitao Sun, Rixing Bai. Attention should be paid to the anatomy and physiological functions of the gastric antrum during SG and SG Plus operations [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 161-164.
[13]	Junrong Ma, Yanbin Ye. Nutritional management and weight regain after bariatric surgery: current situation and thoughts [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 165-172.
[14]	Xiaoxuan Fan, Na Wang, Lihua Zhu, Liang Wang. Research progress of obesity-related tumors [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 173-178.
[15]	Yingying Xiao, Yinqi Tian, Xuemei Peng. Influencing factors and interventions of decreased gastrointestinal blood flow during bariatric surgery [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2023, 09(03): 179-185.

Please choose a citation manager

Content to export