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Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review.
Pediatrics. 2016 12; 138(6)Ped

Abstract

Roughly 1% of all weight loss surgery is performed in adolescents. There is strong evidence demonstrating significant postsurgical weight loss, improvement in quality of life, and reduction in comorbidities such as hypertension and diabetes. Reports of postoperative complications in adolescents are few because of the small sample size in most series. Despite vitamin supplementation, nutritional deficiencies requiring hospitalization occur occasionally after Roux-en-Y gastric bypass. Wernicke encephalopathy, a triad of ophthalmoplegia, ataxia, and altered mental status, is a serious consequence of thiamine (vitamin B1) deficiency. Few cases of Wernicke encephalopathy after weight loss surgery have been reported in the literature and even fewer in the pediatric population. Here we describe a teenage girl who develops vomiting after Roux-en-Y gastric bypass and presented with nystagmus, irritability, and ataxia. The clinical presentation, diagnosis, and treatment of Wernicke encephalopathy in adolescents after bariatric surgery are discussed.

Authors+Show Affiliations

Departments of Pediatric Neurology and aarmstrong-javors@partners.org.Surgery, and.Division of Pediatric Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

27940680

Citation

Armstrong-Javors, Amy, et al. "Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review." Pediatrics, vol. 138, no. 6, 2016.
Armstrong-Javors A, Pratt J, Kharasch S. Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review. Pediatrics. 2016;138(6).
Armstrong-Javors, A., Pratt, J., & Kharasch, S. (2016). Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review. Pediatrics, 138(6).
Armstrong-Javors A, Pratt J, Kharasch S. Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review. Pediatrics. 2016;138(6) PubMed PMID: 27940680.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review. AU - Armstrong-Javors,Amy, AU - Pratt,Janey, AU - Kharasch,Sigmund, Y1 - 2016/11/03/ PY - 2016/08/26/accepted PY - 2016/12/13/entrez PY - 2016/12/13/pubmed PY - 2017/6/22/medline JF - Pediatrics JO - Pediatrics VL - 138 IS - 6 N2 - Roughly 1% of all weight loss surgery is performed in adolescents. There is strong evidence demonstrating significant postsurgical weight loss, improvement in quality of life, and reduction in comorbidities such as hypertension and diabetes. Reports of postoperative complications in adolescents are few because of the small sample size in most series. Despite vitamin supplementation, nutritional deficiencies requiring hospitalization occur occasionally after Roux-en-Y gastric bypass. Wernicke encephalopathy, a triad of ophthalmoplegia, ataxia, and altered mental status, is a serious consequence of thiamine (vitamin B1) deficiency. Few cases of Wernicke encephalopathy after weight loss surgery have been reported in the literature and even fewer in the pediatric population. Here we describe a teenage girl who develops vomiting after Roux-en-Y gastric bypass and presented with nystagmus, irritability, and ataxia. The clinical presentation, diagnosis, and treatment of Wernicke encephalopathy in adolescents after bariatric surgery are discussed. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/27940680/Wernicke_Encephalopathy_in_Adolescents_After_Bariatric_Surgery:_Case_Report_and_Review_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=27940680 DB - PRIME DP - Unbound Medicine ER -