scholarly journals Metabolic Complications of Bypass Surgery for Morbid Obesity

2009 ◽  
Vol 2 ◽  
pp. CCRep.S3226 ◽  
Author(s):  
S. Richard-Devantoy ◽  
J.B. Garrέ ◽  
B. Gohier
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Risk Factor ◽  
Bypass Surgery ◽  
Interesting Case ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Metabolic Complications ◽  
Postoperative Course ◽  
Severe Vitamin

Postoperative complications resulting from bariatric surgery can lead to severe vitamin-deficiency states. A patient who underwent bariatric bypass surgery and later developed Wernicke's encephalopathy prompted us to present her interesting case history for discussion. Although bariatric surgery is known to be a risk factor for Wernicke's encephalopathy, this diagnosis is only rarely evoked in the postoperative course. We recommend that the occurrence of digestive, psychiatric or neurological symptoms after bariatric surgery should suggest a thiamine deficiency that must be promptly assessed. Without waiting for the results, thiamine supplementation should be initiated.

scholarly journals Don’t seek, don’t find: The diagnostic challenge of Wernicke’s encephalopathy

2020 ◽  
pp. 000456322093960
Author(s):  
Sara Kohnke ◽  
Claire L Meek
Keyword(s):  
Bariatric Surgery ◽  
Thiamine Deficiency ◽  
Early Recognition ◽  
Gastrointestinal Surgery ◽  
High Risk Patient ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy ◽  
Cognitive State ◽  
Permanent Disability ◽  
Patient Groups

Wernicke’s encephalopathy is caused by thiamine deficiency and has a range of presenting features, including gait disturbance, altered cognitive state, nystagmus and other eye movement disorders. In the past, Wernicke’s encephalopathy was described almost exclusively in the alcohol-dependent population. However, in current times, Wernicke’s encephalopathy is also well recognized in many other patient groups, including patients following bariatric surgery, gastrointestinal surgery, cancer and pancreatitis. Early recognition of Wernicke’s encephalopathy is vital, as prompt treatment can restore cognitive or ocular function and can prevent permanent disability. Unfortunately, Wernicke’s encephalopathy is often undiagnosed – presumably because it is relatively uncommon and has a variable clinical presentation. Clinical biochemists have a unique role in advising clinicians about potential nutritional or metabolic causes of unexplained neurological symptoms and to prompt consideration of thiamine deficiency as a potential cause in high-risk patient groups. The aim of this review is to summarize the clinical features, diagnosis and treatment of Wernicke’s encephalopathy and to highlight some non-traditional causes, such as after bariatric surgery.

scholarly journals Gastropulmonary Fistula after Bariatric Surgery

2009 ◽  
Vol 23 (3) ◽  
pp. 215-216 ◽  
Author(s):  
Maya Doumit ◽  
Gaby Doumit ◽  
Farid M Shamji ◽  
Sylvie Gregoire ◽  
Richard E Seppala
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Gastric Bypass ◽  
Laparoscopic Gastric Bypass ◽  
Bypass Surgery ◽  
Present Report ◽  
Gastric Bypass Surgery ◽  
Important Complication

The Roux-en-Y gastric bypass is one of the most common operations for morbid obesity. Although rare, gastropulmonary fistulas are an important complication of this procedure. There is only one recently reported case of this complication. The present report describes the serious nature of this complication in a patient after an uneventful laparoscopic gastric bypass surgery.

WERNICKE'S ENCEPHALOPATHY IN A PATIENT AFTER GASTRIC BYPASS SURGERY

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 453S ◽  
Author(s):  
Jonathan P. Parsons ◽  
Clay B. Marsh ◽  
John G. Mastronarde
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy

Neuro-Ophthalmic Findings in Wernicke's Encephalopathy after Gastric Bypass Surgery

2006 ◽  
Vol 30 (4) ◽  
pp. 85-89 ◽  
Author(s):  
Joseph Sullivan ◽  
Roy Hamilton ◽  
Matthew Hurford ◽  
Steven L. Galetta ◽  
Grant T. Liu
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy

scholarly journals Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

2016 ◽  
Vol 62 (3) ◽  
pp. 25-32 ◽  
Author(s):  
Pavel L. Okorokov ◽  
Olga V. Vasyukova ◽  
Ivan I. Dedov
Keyword(s):  
Bariatric Surgery ◽  
Morbid Obesity ◽  
Conservative Treatment ◽  
Literature Review ◽  
Patient Selection ◽  
Metabolic Surgery ◽  
Metabolic Complications ◽  
The World ◽  
Different Types ◽  
Selection For

Morbid obesity in children is associated with various metabolic complications, often persisting into adulthood and leading to reduced quality and duration of life. Conservative treatment of morbid obesity, often ineffective, and therefore, bariatric surgery in adolescents is becoming more common throughout the world. This review presents an analysis of international clinical guidelines for patient selection for bariatric surgery, assessed the efficiency and safety of different types of bariatric operations and identified the main problems of the widespread use of metabolic surgery as a method of treatment of morbid obesity in adolescents.

scholarly journals Stomach Dysfunction Is a Potential Risk Factor for Wernicke's Encephalopathy

2016 ◽  
Vol 55 (24) ◽  
pp. 3679-3680
Author(s):  
Oki Nakano ◽  
Atsunori Tsuchiya ◽  
Satoshi Yamagiwa ◽  
Shuji Terai
Keyword(s):  
Risk Factor ◽  
Potential Risk ◽  
Potential Risk Factor ◽  
Wernicke’S Encephalopathy ◽  
Wernicke's Encephalopathy
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