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.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.JAMA. 2004; 291: 2847-2850
- Epidemic increase in childhood overweight, 1986-1998.JAMA. 2001; 286: 2845-2848
- Predicting obesity in young adulthood from childhood and parental obesity.N Engl J Med. 1997; 337: 869-873
- Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study.J Pediatr. 2007; 150: 12.e2-17.e2
- Prevalence of impaired glucose tolerance among children and adolescents with marked obesity.N Engl J Med. 2002; 346: 802-810
- Health consequences of obesity in youth: childhood predictors of adult disease.Pediatrics. 1998; 101: 518-525
- Gastric surgery for pseudotumor cerebri associated with severe obesity.Ann Surg. 1999; 229 ([discussion 40-2]): 634-640
- Effects of surgically induced weight loss on idiopathic intracranial hypertension in morbid obesity.Neurology. 1995; 45: 1655-1659
- Laparoscopic Roux-en-Y gastric bypass: a case report at one-year follow-up.J Laparoendosc Adv Surg Tech A. 1999; 9: 101-106
- A multidisciplinary approach to the adolescent bariatric surgical patient.J Pediatr Surg. 2004; 39 ([discussion 6-7]): 442-447
- Continuous negative abdominal pressure device to treat pseudotumor cerebri.Int J Obes Relat Metab Disord. 2001; 25: 486-490
- Bariatric surgery for severely obese adolescents.J Gastrointest Surg. 2003; 7 ([discussion 7-8]): 102-107
- Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel.Ann Intern Med. 1991; 115: 956-961
- Vertical banded gastroplasty in the severely obese under age twenty-one.Obes Surg. 1995; 5: 23-33
- One-year outcomes of Roux-en-Y gastric bypass for morbidly obese adolescents: a multicenter study from the Pediatric Bariatric Study Group.J Pediatr Surg. 2006; 41 ([discussion -43]): 137-143
- An update on 73 US obese pediatric patients treated with laparoscopic adjustable gastric banding: comorbidity resolution and compliance data.J Pediatr Surg. 2008; 43: 141-146
- Fatal avian influenza A (H5N1) in a child presenting with diarrhea followed by coma.N Engl J Med. 2005; 352: 686-691
- Short-term outcome in the first 10 morbidly obese adolescent patients in the FDA-approved trial for laparoscopic adjustable gastric banding.J Pediatr Gastroenterol Nutr. 2007; 45: 465-473
- Initial experience with the adjustable gastric band in morbidly obese US adolescents and recommendations for further investigation.J Pediatr Gastroenterol Nutr. 2007; 45: 240-246
- Laparoscopic adjustable gastric banding in adolescent: safety and efficacy.J Pediatr Surg. 2007; 42: 894-897
- Laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents.J Pediatr Surg. 2003; 38: 430-433
Article info
Footnotes
☆Supported in part by an unrestricted grant to the Department of Ophthalmology by Research to Prevent Blindness (New York, NY) and the Lions and Lionesses of Minnesota, Minneapolis, MN.
Identification
Copyright
© 2008 Published by Elsevier Inc.