Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up

Daniel B Leslie; Todd A Kellogg; Kerri N Boutelle; Sean J Barnett; Sarah J Schwarzenberg; Andrew R Harrison; Sayeed Ikramuddin

doi:10.1016/j.jpedsurg.2008.05.001

Preserved vision without growth retardation after laparoscopic Roux-en-Y gastric bypass in a morbidly obese child with pseudotumor cerebri: 36-month follow-up

J Pediatr Surg. 2008 Jul;43(7):e27-30. doi: 10.1016/j.jpedsurg.2008.05.001.

Authors

Daniel B Leslie¹, Todd A Kellogg, Kerri N Boutelle, Sean J Barnett, Sarah J Schwarzenberg, Andrew R Harrison, Sayeed Ikramuddin

Affiliation

¹ Department of Surgery, University of Minnesota Medical Center, University of Minnesota, Minneapolis, MN 55455, USA. lesli002@umn.edu

PMID: 18639671
DOI: 10.1016/j.jpedsurg.2008.05.001

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.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Anastomosis, Roux-en-Y
Child
Gastric Bypass*
Growth Disorders
Humans
Laparoscopy
Male
Obesity, Morbid / complications
Obesity, Morbid / surgery*
Pseudotumor Cerebri / complications*
Vision Disorders / etiology