Abstract
Roux-en-Y gastric bypass (RYGB) is an established surgical treatment of morbid obesity that has produced encouraging results in the vast majority of patients[1]. However, suboptimal weight loss after bariatric surgery remains a challenge and warrants careful management[2]. We report a case of failure to lose weight after laparoscopic RYGB in an obese patient with features of Dercum's disease, an often overlooked medical condition causing obesity refractory to diet and exercise intervention.
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