Wernicke Encephalopathy After Sleeve Gastrectomy

Lu Li, Jeong-Hun Shin, Kavita Sharma, Dong Wook Kim
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Abstract

The number of obese patient’s increases, and bariatric procedures have become more common. The total number of these procedures in Poland was 1958 in 2016. Malabsorption, rapid weight loss and vomiting can predispose patients to nutritional deficiencies following surgery. After bariatric surgery, the majority of vitamin and mineral deficiencies seem to be asymptomatic. However, in some cases both reversible and irreversible neurological symptoms may be observed. Punchai et al. observed that the incidence of neurological complications due to vitamin B deficiency was 0.7%. Wernicke Encephalopathy (WE) is an acute disorder resulting from thiamine deficiency and is characterized by neuropsychiatric symptoms such as ataxia, ophthalmoplegia and confusion. We present a case of a 29-year-old woman who developed WE after sleeve gastrectomy. *Corresponding author: Nowak M, Department of Neurology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland, Tel: +48662072566; E-mail: maria.nowak185@gmail.com Received October 25, 2019; Accepted November 05, 2019; Published November 11, 2019 Citation: Nowak M, Niedziela N, Kubicka-Baczyk K, Adamczyk-Sowa M (2019) Wernicke Encephalopathy after Sleeve Gastrectomy: A Case Report. J Clin Case Rep 9: 1292. Copyright: © 2019 Nowak M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
袖状胃切除术后的韦尼克脑病
肥胖患者人数增加,减肥手术也变得越来越普遍。2016 年,波兰的此类手术总数为 1958 例。吸收不良、体重急剧下降和呕吐可能导致患者术后营养缺乏。减肥手术后,大多数维生素和矿物质缺乏症似乎都没有症状。但在某些情况下,可能会出现可逆和不可逆的神经系统症状。Punchai 等人观察到,维生素 B 缺乏导致神经系统并发症的发生率为 0.7%。韦尼克脑病(Wernicke Encephalopathy,WE)是一种由硫胺素缺乏引起的急性疾病,以共济失调、眼球震颤和意识模糊等神经精神症状为特征。我们报告了一例在袖状胃切除术后出现硫胺素脑病的 29 岁女性病例。*通讯作者:Nowak M,神经科诺瓦克-M,波兰卡托维兹西里西亚医科大学扎布热医学科学院神经病学系,电话:+48662072566;电子邮件:maria.nowak185@gmail.com 收稿日期:2019 年 10 月 25 日;接受日期:2019 年 11 月 05 日;发表日期:2019 年 11 月 11 日 引文:Nowak M,Niedziela,Niedziela-M,波兰卡托维兹西里西亚医科大学扎布热医学科学院神经病学系,电话:+48662072566;电子邮件:maria.nowak185@gmail.com:Nowak M, Niedziela N, Kubicka-Baczyk K, Adamczyk-Sowa M (2019) 袖状胃切除术后的韦尼克脑病:病例报告。J Clin Case Rep 9: 1292.Copyright: © 2019 Nowak M, et al. 这是一篇开放获取文章,根据知识共享署名许可协议的条款发布,该协议允许在任何媒体上不受限制地使用、分发和复制,但必须注明原作者和出处。
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