Wernicke Encephalopathy in Adolescents After Bariatric Surgery: Case Report and Review.

Abstract:

:Roughly 1% of all weight loss surgery is performed in adolescents. There is strong evidence demonstrating significant postsurgical weight loss, improvement in quality of life, and reduction in comorbidities such as hypertension and diabetes. Reports of postoperative complications in adolescents are few because of the small sample size in most series. Despite vitamin supplementation, nutritional deficiencies requiring hospitalization occur occasionally after Roux-en-Y gastric bypass. Wernicke encephalopathy, a triad of ophthalmoplegia, ataxia, and altered mental status, is a serious consequence of thiamine (vitamin B1) deficiency. Few cases of Wernicke encephalopathy after weight loss surgery have been reported in the literature and even fewer in the pediatric population. Here we describe a teenage girl who develops vomiting after Roux-en-Y gastric bypass and presented with nystagmus, irritability, and ataxia. The clinical presentation, diagnosis, and treatment of Wernicke encephalopathy in adolescents after bariatric surgery are discussed.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Armstrong-Javors A,Pratt J,Kharasch S

doi

10.1542/peds.2016-1039

subject

Has Abstract

pub_date

2016-12-01 00:00:00

issue

6

eissn

0031-4005

issn

1098-4275

pii

peds.2016-1039

journal_volume

138

pub_type

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