Myasthenia gravis improvement after laparoscopic Roux-en-Y gastric bypass.
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.
Arias
Fernando
F
The Bariatric Institute, Department of Neurology, Cleveland Clinic Florida, Weston, FL 33331, USA.
Szomstein
Samuel
S
Carrodeguas
Lester
L
Antozzi
Priscila
P
Villares
Alexander
A
Podkameni
David
D
Kennedy
Colleen
C
Soto
Flavia
F
Lo Menzo
Emmanuel
E
Chousleb
Elias
E
Higa
Guillermo
G
Zundel
Natan
N
Locatelli
Eduardo
E
Rosenthal
Raul
R
D000713:Anastomosis, Roux-en-Y; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000150:complications* / Q000175:diagnosis; D009767:Obesity, Morbid / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D019990:Perioperative Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D015431:Weight Loss