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10.1007/s11695-018-3262-4

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suck abstract from ncbi


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pmid29693218
      Obes+Surg 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]
  • |Thiamine [MESH]
  • |Thiamine Deficiency [MESH]
  • |Vomiting/epidemiology/etiology/therapy [MESH]


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