BARIATRIC SURGERY FOR PRE-OPERATIVE WEIGHT REDUCTION IN A PATIENT WITH PHEOCHROMOCYTOMA

Abstract Objectives: Obesity is a predictor of adverse outcomes in patients undergoing adrenalectomy. Pre-adrenalectomy weight reduction is becoming an increasingly common challenge in view of the rising prevalence of obesity. This case report describes the clinical course of a morbidly obese gentleman who underwent bariatric surgery prior to pheochromocytoma resection. Methods: A morbidly obese man with a BMI of 43kg/m2 had an incidental finding of an 8.5cm right sided pheochromocytoma. Dietary and pharmacological methods of weight loss lead to 6kg weight loss over a 12 month period. Multidisciplinary discussion concluded that weight loss and tumour resection were the priority and the patient proceeded to laparoscopic sleeve gastrectomy with appropriate perioperative alpha and beta blockade. Results: laparoscopic sleeve gastrectomy proceeded without complication and lead to a further 23kg of weight loss and the pheochromocytoma was resected two months later. Conclusions: Bariatric surgery for preoperativ...