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Mousapour P, Khalaj A, Valizadeh M, Barzin M. Revisional Surgery After One-Anastomosis Gastric Bypass in a Patient with Limb-Girdle Muscular Dystrophy: Case Report. Obes Surg 2021; 31:4161-4164. [PMID: 33899123 DOI: 10.1007/s11695-021-05447-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 04/20/2021] [Accepted: 04/21/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Pouria Mousapour
- Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Alireza Khalaj
- Tehran Obesity Treatment Center, Department of Surgery, Faculty of Medicine, Shahed University, Tehran, Iran
| | - Majid Valizadeh
- Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Barzin
- Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Gohier H, Cintas P, Montastier E, Bertrand M, Tuyeras G, Chalret du Rieu M, Estrade A, Ritz P. A Case Report of Myotonic Disease and Gastric Bypass and a Literature Review. Obes Surg 2019; 29:2355-2356. [PMID: 31054108 DOI: 10.1007/s11695-019-03913-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
We report the case of a woman with myotonic dystrophy type 1, followed for 8 years after a Roux-en-Y gastric bypass. Weigh loss was substantial (53% of initial body weight) with functional improvement in spite of the natural course of the pathology. Five other cases have been published and have reported a relatively positive benefit/risk ratio. Precautions are to be taken at the time of anesthesia and follow-up in order to detect possible degradation of muscle function.
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Affiliation(s)
- H Gohier
- Nutrition Department, CIO and CHU, Toulouse, France
| | - P Cintas
- Neurology Department, CHU, Toulouse, France
| | - E Montastier
- Nutrition Department, CIO and CHU, Toulouse, France
| | - M Bertrand
- Nutrition Department, CIO and CHU, Toulouse, France
| | - G Tuyeras
- Surgery Department, CIO and CHU, Toulouse, France
| | | | - A Estrade
- Nutrition Department, CIO and CHU, Toulouse, France
| | - P Ritz
- Nutrition Department, CIO and CHU, Toulouse, France. .,Inserm U1027, University Paul Sabatier, Toulouse, France.
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Kröpfl JM, Wilms B, Ernst B, Schultes B, Spengler CM. Letter to the Editor: Circulating Adult Stem and Progenitor Cells After Roux-en-Y Gastric Bypass Surgery in Myotonic Dystrophy. Obes Surg 2018; 29:311-315. [PMID: 30417272 DOI: 10.1007/s11695-018-3585-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Julia M Kröpfl
- Exercise Physiology Lab, ETH Zurich, Institute of Human Movement Sciences and Sport, Winterthurerstrasse 190, 8057, Zurich, Switzerland
| | - Britta Wilms
- Department of Internal Medicine I, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany
| | - Barbara Ernst
- eSwiss Medical and Surgical Center, Brauerstrasse 97, 9016, St. Gallen, Switzerland
| | - Bernd Schultes
- eSwiss Medical and Surgical Center, Brauerstrasse 97, 9016, St. Gallen, Switzerland
| | - Christina M Spengler
- Exercise Physiology Lab, ETH Zurich, Institute of Human Movement Sciences and Sport, Winterthurerstrasse 190, 8057, Zurich, Switzerland.
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Abel EE, Cup EH, Lanser A, Leclercq WK, Raaphorst J, Padberg GW, Satink T, Voermans NC. Experiences with bariatric surgery in patients with facioscapulohumeral dystrophy and myotonic dystrophy type 1: A qualitative study. Neuromuscul Disord 2018; 28:938-946. [DOI: 10.1016/j.nmd.2018.09.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 08/26/2018] [Accepted: 09/12/2018] [Indexed: 10/28/2022]
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Bariatric Surgery for a Medical Complex Condition. Obes Surg 2018; 28:3299-3300. [PMID: 30019281 DOI: 10.1007/s11695-018-3406-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Boussaïd G, Wahbi K, Laforet P, Eymard B, Stojkovic T, Behin A, Djillali A, Orlikowski D, Prigent H, Lofaso F. Genotype and other determinants of respiratory function in myotonic dystrophy type 1. Neuromuscul Disord 2017; 28:222-228. [PMID: 29398295 DOI: 10.1016/j.nmd.2017.12.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Revised: 11/30/2017] [Accepted: 12/20/2017] [Indexed: 11/18/2022]
Abstract
New treatments are being developed for myotonic dystrophy type 1 (DM1). To evaluate their efficacy, knowledge about the natural history of respiratory dysfunction and its relationship with the genotype will be crucial. Also needed is information on factors predicting the time-course of respiratory function in DM1. Using data from 283 patients, we built a segmented linear mixed-effects regression model to assess respiratory function changes over time. Respiratory variables associated with the CTG repeat number were identified by multivariate linear regression analysis. Cox proportional-hazards regression was used to estimate hazard ratios (HRs) for starting non-invasive ventilation (NIV). Higher CTG repeat number was associated with peak cough flow impairment (p = 0.007) and with lower values for maximal inspiratory pressure (p <0.0001) and upright vital capacity. A vital capacity decline over time was associated with older age at first evaluation (p <0.0001), higher CTG repeat number (p <0.0001), and higher baseline body mass index (p = 0.0004). NIV initiation was associated with lower peak cough flow (p <0.001) after age and PaCO2 adjustment. Earlier and closer monitoring with routine peak cough flow determination in adults with congenital DM1, combined with weight control, may diminish the risk of respiratory complications and optimise other aspects of management.
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Affiliation(s)
- Ghilas Boussaïd
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, Garches, France; Association Française contre les Myopathies - Téléthon, Evry, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France.
| | - Karim Wahbi
- Service de cardiologie, Hôpital Cochin, APHP, Université Paris Descartes-Sorbonne Paris Cité, Paris, France
| | - Pascal Laforet
- Institut de Myologie, Centre de Référence de Pathologie Neuromusculaire Paris-Est, GH Pitié-Salpêtrière, Paris, France
| | - Bruno Eymard
- Institut de Myologie, Centre de Référence de Pathologie Neuromusculaire Paris-Est, GH Pitié-Salpêtrière, Paris, France
| | - Tanya Stojkovic
- Institut de Myologie, Centre de Référence de Pathologie Neuromusculaire Paris-Est, GH Pitié-Salpêtrière, Paris, France
| | - Anthony Behin
- Institut de Myologie, Centre de Référence de Pathologie Neuromusculaire Paris-Est, GH Pitié-Salpêtrière, Paris, France
| | - Annane Djillali
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, Garches, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Pôle de ventilation à domicile, AP-HP, Hôpital Raymond Poincaré, Garches, France
| | - David Orlikowski
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, Garches, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Pôle de ventilation à domicile, AP-HP, Hôpital Raymond Poincaré, Garches, France
| | - Hélène Prigent
- Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service d'Explorations Fonctionnelles Respiratoires, AP-HP, Hôpital Raymond Poincaré, Garches, France
| | - Frédéric Lofaso
- Association Française contre les Myopathies - Téléthon, Evry, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service d'Explorations Fonctionnelles Respiratoires, AP-HP, Hôpital Raymond Poincaré, Garches, France
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Boussaïd G, Lofaso F, Santos DB, Vaugier I, Pottier S, Prigent H, Orlikowski D, Bahrami S. Factors influencing compliance with non-invasive ventilation at long-term in patients with myotonic dystrophy type 1: A prospective cohort. Neuromuscul Disord 2016; 26:666-674. [PMID: 27542439 DOI: 10.1016/j.nmd.2016.07.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Revised: 07/05/2016] [Accepted: 07/28/2016] [Indexed: 10/21/2022]
Abstract
This study evaluated compliance with non-invasive ventilation in patients with myotonic dystrophy type 1 and identified predictors of cessation at 5 years in a cohort of patients followed in a specialist center for Neuromuscular Diseases in France. Mechanical ventilation in these patients poses a very strong challenge to caregivers. Factors predicting relative compliance were identified using multivariate linear regressions. Cox proportional-hazards regression was used to estimate hazard ratios associated with risk of cessation. One hundred and twenty-eight patients were included. Compliance during the first year was higher when symptoms of respiratory failure were initially present (+25%, p < 0.003) and lower in the case of acute respiratory failure (-29%, p < 0.003). Long-term compliance was associated with symptoms of respiratory failure (+52%, p < 0.0001) and nocturnal arterial oxygen desaturation (+23%, p < 0.007). Cessation was more frequent in the cases of excessive leaks (HR = 7.81, IC [1.47-41.88], p < 0.01), ventilator dysfunction requiring emergency technical intervention (HR = 12.58, IC [1.22-129.69], p < 0.03) or high body mass index (p < 0.02). Cessation was less frequent for patients with a professional occupation or undergoing professional training (HR = 0.11, IC [0.02-0.77], p < 0.02). Compliance with non-invasive ventilation is poor in patients with no subjective symptoms of respiratory failure. It may be improved with appropriate education and follow-up.
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Affiliation(s)
- Ghilas Boussaïd
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France.
| | - Frédéric Lofaso
- Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service d'Explorations Fonctionnelles Respiratoires, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - Dante Brasil Santos
- Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service d'Explorations Fonctionnelles Respiratoires, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - Isabelle Vaugier
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - Sandra Pottier
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - Hélène Prigent
- Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service d'Explorations Fonctionnelles Respiratoires, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - David Orlikowski
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France; Université de Versailles Saint Quentin en Yvelines, INSERM U1179, France; Service de Santé Publique, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
| | - Stéphane Bahrami
- CIC 1429, INSERM, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France; Service de Santé Publique, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France; Université de Versailles Saint Quentin en Yvelines, EA 4047, France; Pôle de Ventilation à Domicile, AP-HP, Hôpital Raymond Poincaré, 92380 Garches, France
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