title: Myasthenia gravis improvement after laparoscopic Roux-en-Y gastric bypass.
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.
authors.affiliation: The Bariatric Institute, Department of Neurology, Cleveland Clinic Florida, Weston, FL 33331, USA.
authors.forename: Fernando
authors.initials: F
authors.lastname: Arias
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
authors.forename: Lester
authors.initials: L
authors.lastname: Carrodeguas
authors.forename: Priscila
authors.initials: P
authors.lastname: Antozzi
authors.forename: Alexander
authors.initials: A
authors.lastname: Villares
authors.forename: David
authors.initials: D
authors.lastname: Podkameni
authors.forename: Colleen
authors.initials: C
authors.lastname: Kennedy
authors.forename: Flavia
authors.initials: F
authors.lastname: Soto
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Lo Menzo
authors.forename: Elias
authors.initials: E
authors.lastname: Chousleb
authors.forename: Guillermo
authors.initials: G
authors.lastname: Higa
authors.forename: Natan
authors.initials: N
authors.lastname: Zundel
authors.forename: Eduardo
authors.initials: E
authors.lastname: Locatelli
authors.forename: Raul
authors.initials: R
authors.lastname: Rosenthal
mesh_terms: 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