LymphedemaV1, PubMed, Corpus, bibRecord, 000D66

Obesity-induced Lymphedema Nonreversible following Massive Weight Loss.

Identifieur interne : 000D66 ( PubMed/Corpus ); précédent : 000D65; suivant : 000D67

Obesity-induced Lymphedema Nonreversible following Massive Weight Loss.

Auteurs : Arin K. Greene ; Frederick D. Grant ; Reid A. Maclellan

Source :

Plastic and reconstructive surgery. Global open [ 2169-7574 ] ; 2015.

RBID : pubmed:26180727

Abstract

Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient's body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.

DOI: 10.1097/GOX.0000000000000398
PubMed: 26180727

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pubmed:26180727

Le document en format XML

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<author><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name>
<affiliation><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.; and Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.</nlm:affiliation>
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<author><name sortKey="Grant, Frederick D" sort="Grant, Frederick D" uniqKey="Grant F" first="Frederick D" last="Grant">Frederick D. Grant</name>
<affiliation><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.; and Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.</nlm:affiliation>
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<author><name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name>
<affiliation><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.; and Division of Nuclear Medicine, Department of Radiology, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Mass.</nlm:affiliation>
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<front><div type="abstract" xml:lang="en">Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient's body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.</div>
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<Abstract><AbstractText>Lymphedema is the progressive enlargement of tissue due to inadequate lymphatic function. Obesity-induced lymphedema of the lower extremities can occur once a patient's body mass index (BMI) exceeds 50. We report our first patient with obesity-induced lower extremity lymphedema who was followed prospectively before and after weight loss. A 46-year-old woman with a BMI of 80 presented to our Lymphedema Program complaining of bilateral lower extremity swelling. Lymphoscintigraphy showed impaired lymphatic drainage of both lower extremities consistent with lymphedema. She was referred to a bariatric surgical weight-loss center and underwent a sleeve gastrectomy. After reaching her new steady-state BMI of 36 eighteen months following her procedure, lymphoscintigraphy showed no improvement in lower extremity lymphatic function. Patients at risk for obesity-induced lymphedema should be counseled that they should seek weight-loss interventions before their BMI reaches 50, a threshold at which point lower extremity lymphedema may occur. Unlike other comorbidities that reverse following massive weight loss, obesity-induced lymphedema may not resolve.</AbstractText>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2007 May 24;356(21):2176-83</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>N Engl J Med. 2012 May 31;366(22):2136-7</RefSource>
<PMID Version="1">22646649</PMID>
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<CommentsCorrections RefType="Cites"><RefSource>J Vasc Surg. 1989 May;9(5):683-9; discussion 690</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2015 Jun;135(6):1715-9</RefSource>
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<CommentsCorrections RefType="Cites"><RefSource>JAMA. 2010 Jan 20;303(3):235-41</RefSource>
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Obesity-induced Lymphedema Nonreversible following Massive Weight Loss.

Obesity-induced Lymphedema Nonreversible following Massive Weight Loss.

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Abstract

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