Peroneal palsy after bariatric surgery; is nerve decompresion always necessary?

Abstract:

:We present two patients who underwent successful bariatric surgery and developed peroneal nerve palsy six months after the procedure. This is an unusual complication which determines a significant functional limitation, mainly because of foot drop, and its presence may be a hallmark of excessive and rapid weight loss. We discuss possible pathogenic mechanisms and therapeutic options, and we emphasize the important role of an adequate nutritional management, in order to avoid the need for a surgical nerve decompression. :Se presentan dos pacientes sometidos a cirugía bariátrica que desarrollaron una neuropatía del nervio peroneo común seis meses después de la intervención. Se trata de una complicación poco frecuente que supone una importante limitación funcional, y su aparición puede ser indicativa de una pérdida de peso demasiado rápida y excesiva. Se discute la patogenia y las posibles alternativas terapéuticas, y se destaca el papel esencial del correcto manejo nutricional, con el fin de evitar la necesidad de descompresión quirúrgica nerviosa.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Ramos-Leví AM,Matías-Guiu JA,Guerrero A,Sánchez-Pernaute A,Rubio MA

doi

10.3305/nh.2013.28.4.6495

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

1330-2

issue

4

eissn

0212-1611

issn

1699-5198

journal_volume

28

pub_type

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