Tratamiento multidisciplinario en un caso complejo de obesidad mórbida: glomerulosclerosis segmentaria y focal

Morbid obesity, even apart from its related diseases (diabetes, dyslipemia, hypertension), means per se a higher risk for kidney diseases to appear. In this article, a description is given of the case of a 36 year-old male who has morbid obesity and focal segmental glomerulosclerosis with a nephrotic syndrome. An analysis has been done on the relationship of the effects of weight loss with dietary measures, an intragastric balloon and bariatric surgery on the evolution of proteinuria and the kidney function, which improved significantly after the therapeutic process described. The description of the clinical case presented in this article clearly shows the importance of a multi-disciplinary action, as well as the suitability and application of different therapeutic strategies, for making the treatment of a complex case of morbid Obesity successful. In the same way, the importance of the dietary and nutritional support provided at all stages of the therapeutic process is highlighted as a facilitating and contributory factor of the medical treatment, as well as being a necessary overall intervening participant in the treatment.