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Myasthenia Gravis Improvement after Laparoscopic Roux-en-Y Gastric Bypass
Authors:Fernando Arias MD  Samuel Szomstein MD   FACS  Lester Carrodeguas MD  Priscila Antozzi MD  Alexander Villares MD  David Podkameni MD  Colleen Kennedy MD  Flavia Soto MD  Emmanuel Lo Menzo MD  Elias Chousleb MD  Guillermo Higa MD  Natan Zundel MD  Eduardo Locatelli MD  Raul Rosenthal MD   FACS
Affiliation:(1) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(2) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(3) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(4) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(5) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(6) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(7) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(8) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(9) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(10) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(11) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(12) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(13) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA;(14) The Bariatric Institute and Department of Neurology, Cleveland Clinic Florida, Weston, FL, USA
Abstract:Many diseases in the obese population have been found to improve after weight loss. A 56-year-old female with a long history of myasthenia gravis (MG) and morbid obesity is reported. Preoperatively, she presented with a BMI of 46.5 kg/m2, and was on three medications and IV immunoglobulin every 5 weeks. After the surgical procedure, she improved and required less medication. Because MG and morbid obesity require careful perioperative management in order to avoid complications, a multidisciplinary approach is recommended.
Keywords:BARIATRIC SURGERY  MYASTHENIA GRAVIS  LAPAROSCOPIC GASTRIC BYPASS  AUTOIMMUNE NEUROLOGICAL DISEASE
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