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Mesenteric Panniculitis-First Case Series After Bariatric Surgery

Amrit Manik Nasta1, Dipti Patel2, Om Shrivastav2

  • 1Wockhardt Hospitals, Mumbai Central, Mumbai, India. amritnasta@hotmail.com.

Obesity Surgery
|January 10, 2018
PubMed

Insights

Mesenteric panniculitis, a rare inflammatory condition, can occur after bariatric surgery. Early diagnosis and treatment are crucial for managing this progressive disease.

Area of Science:

  • Gastroenterology and Surgical Pathology

Background:

  • Mesenteric panniculitis is a rare condition involving inflammation and fibrosis of the small bowel mesentery.
  • Its etiology is poorly understood, and it is often associated with prior abdominal surgeries.

Observation:

  • Two young male patients developed abdominal symptoms 45-60 days post-laparoscopic sleeve gastrectomy.
  • Initial investigations focused on common post-bariatric complications.

Findings:

  • One patient progressed to an irreversible stage, succumbing to the disease within 8-9 months.
  • The second patient achieved disease reversal through prompt diagnosis, intervention, and adherence to long-term immunosuppressive therapy.

Implications:

  • Mesenteric panniculitis is a rapidly progressive condition requiring timely identification.
  • Early intervention with immunosuppressive therapy can lead to favorable outcomes and disease reversal.
Keywords:
Abdominal cocoonBariatric surgeryIntestinal obstructionMesenteric panniculitisSclerosing peritonitisSleeve gastrectomy

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