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Very early onset of Wernicke's encephalopathy after gastric bypass.
Obes Surg. 2006 May; 16(5):671-2.OS

Abstract

Postoperative complications resulting from bariatric surgery can lead to severe vitamin-deficiency states, such as Wernicke's encephalopathy (WE). We present a 29-year-old woman with BMI 41.7 with no history of alcoholism who developed acute WE after a gastric bypass for morbid obesity. After persistent vomiting for 2 weeks postoperatively, symptoms began with headache, vertigo, diplopia, nystagmus, tingling and weakness in both upper and lower extremities, urinary incontinence, and memory loss to recent events. All investigations, including upper GI endoscopy, Gastrografin meal and even MRI, were normal. A dramatic improvement occurred in 24 hrs after starting 100 mg thiamine infusion daily. We recommend that patients undergoing bariatric surgery should be started on thiamine supplementation once oral intake begins, because this case showed that postoperative acute WE can develop before 6 weeks, unlike other reports.

Authors+Show Affiliations

Department of Medicine, Mubarak Al-Kabeer Hospital, Qadisia 35856, Kuwait. dralfahad@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16687041

Citation

Al-Fahad, Tariq, et al. "Very Early Onset of Wernicke's Encephalopathy After Gastric Bypass." Obesity Surgery, vol. 16, no. 5, 2006, pp. 671-2.
Al-Fahad T, Ismael A, Soliman MO, et al. Very early onset of Wernicke's encephalopathy after gastric bypass. Obes Surg. 2006;16(5):671-2.
Al-Fahad, T., Ismael, A., Soliman, M. O., & Khoursheed, M. (2006). Very early onset of Wernicke's encephalopathy after gastric bypass. Obesity Surgery, 16(5), 671-2.
Al-Fahad T, et al. Very Early Onset of Wernicke's Encephalopathy After Gastric Bypass. Obes Surg. 2006;16(5):671-2. PubMed PMID: 16687041.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Very early onset of Wernicke's encephalopathy after gastric bypass. AU - Al-Fahad,Tariq, AU - Ismael,Ali, AU - Soliman,M Osama, AU - Khoursheed,Mousa, PY - 2006/5/12/pubmed PY - 2006/11/7/medline PY - 2006/5/12/entrez SP - 671 EP - 2 JF - Obesity surgery JO - Obes Surg VL - 16 IS - 5 N2 - Postoperative complications resulting from bariatric surgery can lead to severe vitamin-deficiency states, such as Wernicke's encephalopathy (WE). We present a 29-year-old woman with BMI 41.7 with no history of alcoholism who developed acute WE after a gastric bypass for morbid obesity. After persistent vomiting for 2 weeks postoperatively, symptoms began with headache, vertigo, diplopia, nystagmus, tingling and weakness in both upper and lower extremities, urinary incontinence, and memory loss to recent events. All investigations, including upper GI endoscopy, Gastrografin meal and even MRI, were normal. A dramatic improvement occurred in 24 hrs after starting 100 mg thiamine infusion daily. We recommend that patients undergoing bariatric surgery should be started on thiamine supplementation once oral intake begins, because this case showed that postoperative acute WE can develop before 6 weeks, unlike other reports. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/16687041/Very_early_onset_of_Wernicke's_encephalopathy_after_gastric_bypass_ L2 - https://dx.doi.org/10.1381/096089206776945075 DB - PRIME DP - Unbound Medicine ER -