Laparoscopic Vertical Sleeve Gastrectomy for the Treatment of Pseudotumor Cerebri

Um, Scott; Koleilat, Alaa; Dutson, Erik; Mehran, Amir

doi:10.1177/000313481307900204

Cited by 5 publications

(4 citation statements)

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“…Twelve primary studies [18][19][20][21][22][23][25][26][27][28]30,31 were included in the systematic review, accounting for a total of 39 participants, all of whom were diagnosed with IIH preoperatively. Of the 39 participants, 38 were female, and the average age of all participants was 32.5 years.…”

Section: Resultsmentioning

confidence: 99%

“…One limitation of this analysis is the lack of high-quality primary studies on the topic of bariatric surgery as a treatment for IIH. Although 12 primary studies were included, the majority 18,19,[21][22][23][25][26][27][28]31 were case reports and case series. Given that case studies are particularly prone to reporting bias, the effects of bariatric surgery in the treatment of IIH may have been overestimated in our results.…”

Section: Limitationsmentioning

confidence: 99%

“…As bariatric surgery remains the only treatment modality that has been proven to be successful for patients with severe obesity for whom conservative management has been unsuccessful, various case reports and case series have identified bariatric surgery as a potential option for patients with IIH. 8,[18][19][20][21][22][23][24][25][26][27][28][29][30][31] We aimed to systematically review the literature to determine the efficacy of bariatric surgery for the treatment of IIH.…”

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Idiopathic intracranial hypertension and bariatric surgery: a systematic review

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Switzer

Dang

et al. 2020

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Background: Idiopathic intracranial hypertension (IIH) is a rare condition typically affecting women with obesity who are of child-bearing age. Patients commonly present with headaches, visual disturbances, pulsatile tinnitus and papilledema. The association between IIH and obesity has been well established in the literature, suggesting that weight loss may contribute to improving IIH. For patients with severe obesity for whom conservative management is not successful, bariatric surgery is an effective modality for weight loss. We aimed to systematically review the literature to determine the efficacy of bariatric surgery in the treatment of IIH Methods: We conducted a comprehensive search of MEDLINE, Embase, Scopus, the Cochrane Library and Web of Science (limited to studies in humans published in English between January 1946 and July 2015).Results: Twelve primary studies (n = 39 patients) were included in the systematic review. All patients had a preoperative diagnosis of IIH. Preoperative body mass index (BMI) was 47.4 ± 3.6 kg/m 2 ; BMI improved to 33.7 ± 2.1 kg/m 2 and 33.9 ± 11.6 kg/m 2 at 6 and 12 months postoperatively, respectively. Lumbar puncture opening pressures decreased from 34.4 ± 6.9 cm H 2 O to 14.0 ± 3.6 cm H 2 O after surgery. Common symptoms of IIH improved after bariatric surgery: headaches (100% preoperatively v. 10% postoperatively), visual complaints (62% v. 44%), tinnitus (56% v. 3%) and papilledema (62% v. 8%). Conclusion:Bariatric surgery appears to lead to considerable improvement in IIH. Idiopathic intracranial hypertension is not a well-publicized comorbidity of obesity, but its presence may be considered as an indication for bariatric surgery.Contexte : L'hypertension intracrânienne (HTIC) idiopathique est une affection rare qui touche surtout les femmes atteintes d'obésité en âge de procréer. Les symptômes courants sont des maux de tête, des troubles de la vue, des acouphènes pulsatiles et un oedème papillaire. Le lien entre l'HTIC idiopathique et l'obésité est bien établi dans la littérature, ce qui suggère que la perte de poids pourrait améliorer le tableau clinique de l'HTIC. Pour les patients atteints d'obésité sévère pour lesquels le traitement conservateur ne fonctionne pas, la chirurgie bariatrique est un moyen efficace de perdre du poids. Cette revue systématique de la littérature vise à déterminer l'efficacité de la chirurgie bariatrique dans le traitement de l'HTIC idiopathique.Méthodes : Nous avons interrogé MEDLINE, Embase, Scopus, la Bibliothèque Cochrane et Web of Science (limites : études portant sur les humains publiées en anglais entre janvier 1946 et juillet 2015).Résultats : Douze études primaires (n = 39 patients) ont été incluses dans la revue systématique. Tous les patients avaient un diagnostic préopératoire d'HTIC idiopathique. L'indice de masse corporelle (IMC) préopératoire était de 47,4 ± 3,6 kg/m 2 ; l'IMC est passé à 33,7 ± 2,1 kg/m 2 6 mois après l'opération, puis à 33,9 ± 11,6 kg/m 2 12 mois après l'opération. Les pressions d'ouverture des ponctions ...

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Section: Resultsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Idiopathic intracranial hypertension and bariatric surgery: a systematic review

Sun

Switzer

Dang

et al. 2020

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“…A recent systematic review of the literature on bariatric surgery for treatment of IIH has included 17 papers (6 series and 11 case reports) (15) . Fifty-four of the 67 IIH patients treated with bariatric surgery underwent gastric bypass, while LSG was performed in only 6 patients reported in 1 study (reference not found in Pubmed, abstract in IFSO 2013 congress) and 1 case report (15)(16) .…”

Section: Introductionmentioning

confidence: 99%