Wernicke's syndrome after sleeve gastrectomy

被引：45

作者：

Makarewicz, Wojciech

Kaska, Lukasz

Kobiela, Jarek

Stefaniak, Tomasz

Krajewski, Jacek

Stankiewicz, Marta

Wujtewicz, Magdalena A.

Lachinski, Andrzej J.

Sledzinski, Zbigniew ^{[1
]}

机构：

[1] Med Univ Gdansk, Dept Gen Endocrine & Transplant Surg, Gdansk, Poland

[2] Med Univ Gdansk, Dept Clin Nutr, Gdansk, Poland

[3] Med Univ Gdansk, Dept Anaesthesia & Intens Care, Gdansk, Poland

来源：

OBESITY SURGERY | 2007年 / 17卷 / 05期

关键词：

morbid obesity; bariatric surgery; sleeve gastrectomy; Wernicke's syndrome; mini-gastric bypass;

D O I：

10.1007/s11695-007-9114-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report a case of Wernicke's encephalopathy after sleeve gastrectomy, which had been complicated by stomach wall edema and aggravated by dietary noncompliance. Despite intense parenteral nutrition, thiamine deficiency became clinically evident. It suggests that nutritional preparations used were unable to cover the increased thiamine requirement. After intense thiamine supplementation, gradual improvement occurred during the 6 months after the diagnosis, without permanent cognitive impairment. Clinicians involved in postoperative management of bariatric surgery patients must consider Wernicke's syndrome in hyper-emetic patients, who show unclear neurological deterioration. Early diagnosis and treatment can instantly improve the patient's condition without permanent sequelae.

引用

页码：704 / 706

页数：3

共 16 条

[1] Very early onset of Wernicke's encephalopathy after gastric bypass [J].