I’m a 39 year old female with secondary-progressive multiple sclerosis (SPMS) and mild hypertension. I always had issues with weight like most people looking for these types of surgery. I have bounced around from 150 lbs to my current 215 lbs.
I used to run and be in decent physical shape despite my weight. I go walking now whenever I can but I have huge fatigue issues.
I’m followed by Neurology every 3 months. I’m also followed by Pain management due to the pain caused by the MS. I’m compliant with all my medications given by the Neuro and pain doctor.
I have 4 children and I have huge fatigue issues due to this disease. I use a cane to get around now and used to be a a volunteer firefighter and pediatric RN.
I was wondering is it safe to have bypass or the sleeve procedure done with my type of MS?
Secondary-Progressive Multiple Sclerosis (SPMS) & Bariatric Surgery
Question Below Submitted By:
Surgeon response to "Secondary-Progressive Multiple Sclerosis (SPMS) & Bariatric Surgery
Although there are no specific published outcome data regarding weight loss surgery (WLS) in MS patients that I'm aware of, I have personal experience caring for two patients who underwent WLS after being diagnosed with MS.
Both of these patients have had a very gratifying improvement in their overall condition and capabilities as they've lost the weight; both still have MS symptoms that have stabilized.
Consequently, I believe that barring any other medical conditions that would make WLS an excessively risky undertaking in your situation, I would see no specific reason why you should not undergo WLS.
My recommendation would be to pursue the sleeve gastrectomy as it is a much simpler and likely less complication-prone procedure than the gastric bypass in your case.
Before pursuing WLS, you should carefully discuss this option with your treating neurologist/physician staff for their guidance in your decision making.
Patients with MS have varible disease progression and your doctors' insights into your specific clinical case would be invaluable in assisting you in weighing the relative risks and benefits of pursuing WLS.
M.D. Pacific Laparoscopy
DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.
[ Last editorial review/modification of this page : 08/22/2018 ]