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2018 ; 28
(7
): 2060-2068
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Preventing Wernicke Encephalopathy After Bariatric Surgery
#MMPMID29693218
Oudman E
; Wijnia JW
; van Dam M
; Biter LU
; Postma A
Obes Surg
2018[Jul]; 28
(7
): 2060-2068
PMID29693218
show ga
Half a million bariatric procedures are performed annually worldwide. Our aim was
to review the signs and symptoms of Wernicke's encephalopathy (WE) after
bariatric surgery. We included 118 WE cases. Descriptions involved gastric bypass
(52%), but also newer procedures like the gastric sleeve. Bariatric WE patients
were younger (median?=?33 years) than those in a recent meta-analysis of medical
procedures (mean?=?39.5 years), and often presented with vomiting (87.3%), ataxia
(84.7%), altered mental status (76.3%), and eye movement disorder (73.7%).
Younger age seemed to protect against mental alterations and higher BMI against
eye movement disorders. The WE treatment was often insufficient, specifically
ignoring low parenteral thiamine levels (77.2%). In case of suspicion, thiamine
levels should be tested and treated adequately with parenteral thiamine
supplementation.
|Adult
[MESH]
|Bariatric Surgery/*adverse effects/statistics & numerical data
[MESH]
|Dietary Supplements
[MESH]
|Humans
[MESH]
|Obesity, Morbid/epidemiology/*surgery
[MESH]
|Parenteral Nutrition
[MESH]
|Postoperative Complications/epidemiology/etiology/*prevention & control
[MESH]