scholarly journals Sleeve Gastrectomy in a Patient with Obesity and Ehlers-Danlos Syndrome: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Amanda Belluzzi ◽  
Amanda Belluzzi ◽  
M Foletto

Ehlers-Danlos syndrome (EDS) is an inherited connective tissue disorder with a huge variety of signs and symptoms. Gastrointestinal manifestations may be present in up to 50% of patients. We here report bariatric surgery in a patient with EDS, focusing on management challenges, preoperative assessment and one-year outcome. A 56-year-old woman with hypermobility-type (HM) EDS, BMI 42,5 kg/m2 and hypertension underwent laparoscopic sleeve gastrectomy (LSG). She was uneventfully discharged on POD3. One-year after the operation her BMI was 28,3 kg/m2 and hypertension receded. Postoperative upper GI series (POD60) did show neither reflux nor esophageal dysmotility. Bariatric surgery in patients with EDS can be challenging due to the potential risks of wound healing. Proper preoperative assessment and follow up should be strongly recommended.

2013 ◽  
Vol 37 ◽  
pp. S253-S254
Author(s):  
Justin Peddle ◽  
Kendra Lester ◽  
Carla Dillon ◽  
Deborah M. Gregory ◽  
Lauire Twells

2020 ◽  
Vol 13 (2) ◽  
pp. e231977
Author(s):  
Margarida Cunha ◽  
Mafalda Matias ◽  
Inês Marques

Ehlers-Danlos syndrome (EDS), hypermobility type, is probably the most common EDS type, as well as the most common heritable connective tissue disorder. Bladder dysfunction is a rare clinical manifestation of EDS and manifests itself as primary nocturnal enuresis. We present a 10-year-old boy referred to the paediatrics nephrology consultation due to primary nocturnal enuresis and day time symptoms of urinary urgency. During the appointment, a tendency to joint hypermobility was noted. On evaluation the skin was hyperextensible and the Beighton score was positive. The genetic testing revealed a variant of the COL5A1 gene not yet described in the literature.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Timothy P. Plackett ◽  
Edward Kwon ◽  
Ronald A. Gagliano ◽  
Robert C. Oh

Ehlers-Danlos syndrome-hypermobility type (EDS-HT) is a connective tissue disorder associated with chronic musculoskeletal pain. The diagnosis is based on simple clinical examination, although it is easily overlooked. Herein we present a case of EDS-HT associated with hemorrhoids and suggest that there may be an association between the two conditions.


2018 ◽  
Vol 08 (02) ◽  
pp. 069-072
Author(s):  
Paushpala Sen ◽  
Merlin Butler

AbstractWe report a 13-year-old male patient with severe orthopedic problems including features of a connective tissue disorder and a heterozygous c.305T > A variant found within exon 3 of the autosomal dominant collagen (COL5A1) gene causing the classic Ehlers–Danlos syndrome. This variant has not been reported previously and identified as having an unknown clinical significance but classified as trending damaging per in silico prediction with high conservation among species. Our patient's father had the same gene variant and similar features of stretchable skin, easy bruising, and multiple joint dislocations. The father had unexplained heart failure requiring cardiac transplantation at 43 years of age.


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