title: Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up.
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.
authors.affiliation: Department of Surgery, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA. lesli002@umn.edu
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Leslie
authors.forename: Todd A
authors.initials: TA
authors.lastname: Kellogg
authors.forename: Kerri N
authors.initials: KN
authors.lastname: Boutelle
authors.forename: Sean J
authors.initials: SJ
authors.lastname: Barnett
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Schwarzenberg
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Harrison
authors.forename: Sayeed
authors.initials: S
authors.lastname: Ikramuddin
mesh_terms: D000713:Anastomosis, Roux-en-Y; D002648:Child; D015390:Gastric Bypass; D006130:Growth Disorders; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011559:Pseudotumor Cerebri / Q000150:complications*; D014786:Vision Disorders / Q000209:etiology