Is bariatric surgery effective in the treatment of the neurological motor deficit syndromes?

Obes Surg. 1997 Oct;7(5):420-3. doi: 10.1381/096089297765555403.

Abstract

Background: Persons who suffer from neurological motor deficit syndromes, such as multiple sclerosis, postpolio syndrome, cerebral palsy, myotonia or stroke, are at a particular disadvantage if they are also morbidly obese. There appears to be little in the medical literature describing the role of bariatric surgery and the management of these conditions.

Methods: We offer our experience with six such patients. All had variations of the gastric bypass procedure.

Results: Weight loss was quite good, in comparison to other morbidly obese patients. All six noted improved function, usually dramatically improved.

Conclusions: Long-term weight maintenance and functional improvement cannot be assessed in this group of patients. One should expect difficulty in making a long-term assessment in the presence of a progressing debilitating disease. Short-term results were good, and we believe that bariatric surgery should be offered to these patients on an individual basis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Cerebral Palsy / complications
  • Cerebral Palsy / surgery*
  • Female
  • Follow-Up Studies
  • Gastric Bypass*
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications
  • Multiple Sclerosis / surgery*
  • Myotonia / complications
  • Myotonia / surgery*
  • Obesity, Morbid / etiology
  • Obesity, Morbid / surgery
  • Postpoliomyelitis Syndrome / complications
  • Postpoliomyelitis Syndrome / surgery*
  • Quality of Life
  • Retrospective Studies
  • Treatment Outcome
  • Weight Loss