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2016 ; 21
(3
): 241-5
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Neurological complications of bariatric surgery
#MMPMID27356656
Algahtani HA
; Khan AS
; Khan MA
; Aldarmahi AA
; Lodhi Y
Neurosciences (Riyadh)
2016[Jul]; 21
(3
): 241-5
PMID27356656
show ga
OBJECTIVE: To review and analyze the neurological complications from bariatric
surgery in Kingdom of Saudi Arabia. METHODS: This cross sectional study was
carried out in King Abdulaziz Medical City, Jeddah, Kingdom of Saudi Arabia from
January 2009 to December 2015. Important personal and clinical data were
collected from the charts of the patients who underwent bariatric surgery. Data
on follow up visit and remote complication if present, was also collected. All
patients with neurological complications were reviewed in detail. The significant
difference was calculated by using T-test and p-value<0.05 was considered
significant. RESULTS: A total of 451 patients underwent bariatric surgery, 15
cases had neurological complications (3%). Axonal polyneuropathy was the most
frequent neurological complication, but cases of Wernicke syndrome, vitamin B12
deficiency, Guillain-Barre syndrome and copper deficiency were also identified.
Fourteen patients (93.3%) had full recovery from the neurological signs and
symptoms; one patient died. CONCLUSION: Bariatric surgery is not free of
potential neurological complications. Complications may affect both central and
peripheral nervous system and death is a possibility. Multidisciplinary care
including consultation of different teams is highly recommended.
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