Peripheral neuropathy and severe malnutrition following duodenal switch.

Abstract:

:Severe thiamine (vitamin B-1) deficiency is a medical emergency that has long been recognized as a potential complication of bariatric surgery. The incidence of this rare complication is largely unknown. We describe a super-obese male patient with extreme lower limb weakness 3 months following a duodenal switch operation, occurring in association with persisting vomiting. Excessive malabsorption led to severe malnutrition, with lower limb edemas and clinical evidence of ascites and pleural effusion. Blood tests revealed low levels of albumin, hemoglobin, potassium, vitamins A, B-1, and B-6, and elevated prothrombin time. The symptoms of neuropathy improved after extensive nutritional therapy. Weight eventually stabilized following elongation of the common channel. This case report demonstrates the importance of awareness of neurological complications following bariatric surgery. These complications require urgent and vigorous therapy when they occur.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Aasheim ET,Hofsø D,Hjelmesaeth J,Sandbu R

doi

10.1007/s11695-008-9539-2

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1640-3

issue

12

eissn

0960-8923

issn

1708-0428

journal_volume

18

pub_type

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    authors: Seyfried F,Bueter M,Spliethoff K,Miras AD,Abegg K,Lutz TA,le Roux CW

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    pub_type: 杂志文章

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