Top

Published in:

01-07-2020 | Myasthenia Gravis | Letter to the Editor

Long Biliopancreatic Limb Roux-en-Y Gastric Bypass Revisional Surgery in a Myasthenia Gravis Patient: Case Report

Authors: Giuliano Peixoto Campelo, Plinio da Cunha Leal, Caio Márcio Barros de Oliveira, Ed Carlos Rey Moura, Eduardo José Silva Gomes de Oliveira, Roclides Castro de Lima, José Aparecido Valadão

Published in: Obesity Surgery | Issue 7/2020

Excerpt

With the significant increase in the prevalence of obesity, more patients who are the carriers of complex comorbidities are undergoing bariatric and metabolic surgery. Myasthenia gravis (MG) is a chronic autoimmune disorder, with a worldwide prevalence of 40 to 180 per million people [1], characterized by severe muscle weakness, which worsens with continued activity and improves with rest [1]. The intensity varies from isolated or generalized weakness of the eye muscles to acute respiratory failure requiring mechanical ventilation support [1]. …

Gilhus N, Verschuuren J. Myasthenia gravis: subgroup classification and therapeutic strategies. Lancet Neurol. 2015;14(10):1023–36.CrossRef

Ghiassi S, Higa K, Chang S, et al. Conversion of standard Roux-en-Y gastric bypass to distal bypass for weight loss failure and metabolic syndrome: 3-year follow-up and evolution of technique to reduce nutritional complications. Surg Obes Relat Dis. 2018;14(5):554–61.CrossRef

Murad A, Cohen R, de Godoy E, et al. A prospective single-arm trial of modified long biliopancreatic and short alimentary limbs Roux-en-Y gastric bypass in type 2 diabetes patients with mild obesity. Obes Surg. 2017;28(3):599–605.CrossRef

Boerboom A, Homan J, Aarts E, et al. A long biliopancreatic and short alimentary limb results in more weight loss in revisional RYGB surgery. Outcomes of the randomized controlled ELEGANCE REDO trial. Surg Obes Relat Dis. 2019;15(1):60–9.CrossRef

Homan J, Boerboom A, Aarts E, et al. A longer biliopancreatic limb in Roux-en-Y gastric bypass improves weight loss in the first years after surgery: results of a randomized controlled trial. Obes Surg. 2018;28(12):3744–55.CrossRef

Arias F, Szomstein S, Carrodeguas L, et al. Myasthenia gravis improvement after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2005;15(4):591–4.CrossRef

Ballal M, Straker T. Laparoscopic sleeve gastrectomy in a morbidly obese patient with myasthenia gravis: a review of the management. Case Rep Med. 2015;2015:1–4.CrossRef

Schumann R, Tarnoff M, Siddiqui Z. Minimally invasive gastric bypass in a morbidly obese patient with myasthenia gravis. Obes Surg. 2004;14(9):1273–6.CrossRef

Jakubiak J, Gaszynski T, Gaszynski W. Neuromuscular block reversal with sugammadex in a morbidly obese patient with myasthenia gravis. Anaesthesiol Intensive Ther. 2012;44(1):28–30.PubMed

10.

Fernandes H, Ximenes J, Nunes D, et al. Failure of reversion of neuromuscular block with sugammadex in patient with myasthenia gravis: case report and brief review of literature. BMC Anesthesiol. 2019;19:160. https://doi.org/10.1186/s12871-019-0829-0.

Title: Long Biliopancreatic Limb Roux-en-Y Gastric Bypass Revisional Surgery in a Myasthenia Gravis Patient: Case Report
Authors: Giuliano Peixoto Campelo
Plinio da Cunha Leal
Caio Márcio Barros de Oliveira
Ed Carlos Rey Moura
Eduardo José Silva Gomes de Oliveira
Roclides Castro de Lima
José Aparecido Valadão
Publication date: 01-07-2020
Publisher: Springer US
Keywords: Myasthenia Gravis
Obesity
Obesity
Rocuronium
Published in: Obesity Surgery / Issue 7/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04501-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Long Biliopancreatic Limb Roux-en-Y Gastric Bypass Revisional Surgery in a Myasthenia Gravis Patient: Case Report

Excerpt

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 7/2020

Correction to: Trocar Site Hernias in Bariatric Surgery—an Underestimated Issue: a Qualitative Systematic Review and Meta-Analysis

Management of Acute Gastric Remnant Complications After Roux-en-Y Gastric Bypass: a Single-Center Case Series

Combined Laparoscopic Revision of the Gastric Pouch and Distalization of the Roux Limb After Failure of Weight Loss Following Roux-en-Y Gastric Bypass

Internal Hernia in the Times of COVID-19: to Laparoscope or Not to Laparoscope?

Inclusion of a Clip Inside the Cartridge and Failure of the Stapler When Performing a Laparoscopic Sleeve Gastrectomy

Gut and Metabolic Hormones Changes After Endoscopic Sleeve Gastroplasty (ESG) Vs. Laparoscopic Sleeve Gastrectomy (LSG)