Beriberi following sleeve gastrectomy.

IF 2.4 Q2 CLINICAL NEUROLOGY PRACTICAL NEUROLOGY Pub Date : 2024-07-26 DOI:10.1136/pn-2024-004219
Bernard Liem, Xin You Tai, Faye Begeti, Farheen Fazal Fathima, Monika Hofer, Lucy Matthews, Simon Rinaldi, David L H Bennett, Martin R Turner
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Abstract

Bariatric surgery is being undertaken more frequently in response to rising levels of obesity but is increasingly also requested as a cosmetic choice. Nutritional deficiencies are a recognised consequence of gastrectomy, with potentially severe and permanent neurological sequelae. We present two cases of acute, severe polyneuropathy following sleeve gastrectomy. Severe thiamine deficiency was considered in both cases but with delayed proof and a significant initial differential diagnosis. Neurologists must have a high index of suspicion for the peripheral as well as central presentations of thiamine deficiency to avoid permanent disability. We also call for explicit information resources warning of the risk and signs of thiamine deficiency to be provided routinely to patients after gastrectomy.

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袖状胃切除术后的脚气病
由于肥胖症患者越来越多,减肥手术也越来越频繁,但人们也越来越多地将其作为一种美容选择。营养不良是胃切除术的公认后果,可能会造成严重的永久性神经后遗症。我们介绍了两例袖状胃切除术后急性严重多发性神经病的病例。两例病例均考虑为严重硫胺素缺乏症,但迟迟未能确诊,最初的鉴别诊断也很重要。神经科医生必须高度怀疑硫胺素缺乏症的外周和中枢表现,以避免造成永久性残疾。我们还呼吁为胃切除术后的患者提供明确的信息资源,警告硫胺素缺乏症的风险和征兆。
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来源期刊
PRACTICAL NEUROLOGY
PRACTICAL NEUROLOGY Medicine-Neurology (clinical)
CiteScore
3.70
自引率
3.60%
发文量
113
期刊介绍: The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.
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