Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up |
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| Authors: | Leslie Daniel B Kellogg Todd A Boutelle Kerri N Barnett Sean J Schwarzenberg Sarah J Harrison Andrew R Ikramuddin Sayeed |
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| Affiliation: | aDepartment of Surgery, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA;bDepartment of Pediatrics, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA;cDepartment of Ophthalmology and Otolaryngology, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA |
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| Abstract: | A 12-year-old boy presented with a weight of 136 kg and a history of progressive vision loss associated with unremitting pseudotumor cerebri requiring bilateral optic nerve sheath decompression. He underwent laparoscopic Roux-en-Y gastric bypass (RYGBP) without complication. At 36 months post-RYGBP, he has grown 5 cm since the time of surgery, his weight is 6.8 kg above his postoperative nadir weight of 68.2 kg, and his visual acuity has improved with OD 20/100 (preoperative, 20/200) and OS 20/70 (preoperative, 20/100). This case suggests that RYGBP can be performed safely and without stopping linear growth in carefully selected children. |
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| Keywords: | Adolescent Severe obesity Pseudotumor cerebri Laparoscopic Roux-en-Y gastric bypass |
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