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Obesity Surgery
Published in: Obesity Surgery 6/2024

24-04-2024 | Encephalopathy | Multimedia Article

Wernicke Encephalopathy After Roux-en-Y Gastric Bypass Presenting with Altered Mental Status—A Video Case Report

Authors: Chih-Chiang Chen, Po-Chih Chang, Ting-Wei Chang, Hui-Yu Chuang

Published in: Obesity Surgery | Issue 6/2024

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Abstract

Wernicke encephalopathy (WE) is a seldom encountered yet significant neuropsychiatric ailment resulting from a deficiency in thiamine (vitamin B1). While commonly linked with chronic alcoholism or insufficient dietary intake, instances of WE following bariatric and metabolic surgeries, notably laparoscopic Roux-en-Y gastric bypass (RYGB), have been sporadically documented. This case study elucidates the condition of a male patient who, 3 months after undergoing RYGB to address severe obesity, displayed abrupt alterations in mental status, swiftly ameliorated by immediate administration of intravenous high-dose thiamine.
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Literature
1.
Latt N, Dore G. Thiamine in the treatment of Wernicke encephalopathy in patients with alcohol use disorders. Intern Med J. 2014;44(9):911–5.CrossRefPubMed
2.
3.
Yu AT, Gross A, Park K, et al. Wernicke encephalopathy after bariatric surgery: a literature review. Obes Surg. 2023;33(11):3621–7.CrossRefPubMed
4.
Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20.CrossRefPubMed
5.
Singh S, Kumar A. Wernicke encephalopathy after obesity surgery: a systematic review. Neurology. 2007;68(11):807–11.CrossRefPubMed
6.
Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55.CrossRefPubMed
7.
Khan F, Sharma N, Ud Din M, et al. Isolated Pulvinar/hockey stick sign in nonalcoholic Wernicke’s encephalopathy. Am J Case Rep. 2020;21:e928272.PubMedPubMedCentral
Metadata
Title
Wernicke Encephalopathy After Roux-en-Y Gastric Bypass Presenting with Altered Mental Status—A Video Case Report
Authors
Chih-Chiang Chen
Po-Chih Chang
Ting-Wei Chang
Hui-Yu Chuang
Publication date
24-04-2024
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2024
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-024-07216-2

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