Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up.
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.
Leslie
Daniel B
DB
Department of Surgery, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA. lesli002@umn.edu
Kellogg
Todd A
TA
Boutelle
Kerri N
KN
Barnett
Sean J
SJ
Schwarzenberg
Sarah J
SJ
Harrison
Andrew R
AR
Ikramuddin
Sayeed
S
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