title: Bariatric surgery for morbid obesity in craniopharyngioma.
abstract: OBJECTIVE
  To retrospectively analyse the effectiveness of bariatric surgery for hypothalamic obesity in patients with craniopharyngioma (CP).
  
  
  METHODS
  Patients who developed morbid obesity after surgery for CP and who underwent laparoscopic gastric banding (LAGB), laparoscopic sleeve gastrectomy or gastric bypass were included (n = 9). Patients with common obesity who underwent bariatric surgery served as controls (LAGB n = 40, sleeve gastrectomy n = 49 and gastric bypass n = 54).
  
  
  RESULTS
  CP was diagnosed during childhood or adolescence [median (range) 10 (1-21) years] and age at bariatric surgery was 17 [12-30] years. Six patients underwent gastric banding [median follow-up 5.5 years (range 1-9)], 4 had a sleeve gastrectomy [median follow-up 2 (0.4-4) years] and two patients had gastric bypass surgery (median follow-up 3 years). Three patients had more than one type of bariatric surgery. Different from controls, no weight loss was observed after LAGB or sleeve gastrectomy. The two patients who had gastric bypass surgery lost body weight comparable with controls.
  
  
  CONCLUSIONS
  With LAGB and sleeve gastrectomy, no significant loss of body weight was achieved in young adult patients with craniopharyngioma-associated morbid obesity.
authors.affiliation: Department of Internal Medicine I, Endocrine and Diabetes Unit, University of Wuerzburg, Wuerzburg, Germany. weismann_d@medizin.uni-wuerzburg.de
authors.forename: Dirk
authors.initials: D
authors.lastname: Weismann
authors.forename: Theresia
authors.initials: T
authors.lastname: Pelka
authors.forename: Gwendolyn
authors.initials: G
authors.lastname: Bender
authors.forename: Christian
authors.initials: C
authors.lastname: Jurowich
authors.forename: Martin
authors.initials: M
authors.lastname: Fassnacht
authors.forename: Andreas
authors.initials: A
authors.lastname: Thalheimer
authors.forename: Bruno
authors.initials: B
authors.lastname: Allolio
mesh_terms: D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D001835:Body Weight / Q000502:physiology; D002648:Child; D003397:Craniopharyngioma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult