title: The effect of laparoscopic Roux-en-Y gastric bypass on fibromyalgia.
abstract: BACKGROUND
  Fibromyalgia is a chronic debilitating disorder affecting 3-5% of the US population. Treatment of this disorder is a challenge. The incidental finding of improvement of fibromyalgia following laparoscopic Roux-en-Y gastric bypass stimulated us to study this phenomenon.
  
  
  METHODS
  A retrospective chart review of patients with fibromyalgia who underwent laparoscopic Roux-en-Y gastric bypass.
  
  
  RESULTS
  Postoperative decrease in median of BMI from 49.4 to 29.7 was significant (p value = 0.0010). This was associated with statistically significant improvement in median of pain score (p value = 0.0010) and median points of tenderness (p value = 0.0010).
  
  
  CONCLUSIONS
  Significant weight loss following laparoscopic Roux-en-Y gastric bypass is associated with resolution or improvement of fibromyalgia. Consequently, the bariatric surgeon should be a member of the multidisciplinary team approach for treating fibromyalgia.
authors.affiliation: Department of Surgery, Michigan State University/Kalamazoo Center for Medical Studies, 1000 Oakland Drive, Kalamazoo, MI 49008, USA. saber@kcms.msu.edu
authors.forename: Alan A
authors.initials: AA
authors.lastname: Saber
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Boros
authors.forename: Tara
authors.initials: T
authors.lastname: Mancl
authors.forename: Mohamed H
authors.initials: MH
authors.lastname: Elgamal
authors.forename: Susrap
authors.initials: S
authors.lastname: Song
authors.forename: Therawat
authors.initials: T
authors.lastname: Wisadrattanapong
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005356:Fibromyalgia / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D015390:Gastric Bypass; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*