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Open Access 01-07-2018 | Review Article

Preventing Wernicke Encephalopathy After Bariatric Surgery

Authors: Erik Oudman, Jan W. Wijnia, Mirjam van Dam, Laser Ulas Biter, Albert Postma

Published in: Obesity Surgery | Issue 7/2018

Abstract

Half a million bariatric procedures are performed annually worldwide. Our aim was to review the signs and symptoms of Wernicke’s encephalopathy (WE) after bariatric surgery. We included 118 WE cases. Descriptions involved gastric bypass (52%), but also newer procedures like the gastric sleeve. Bariatric WE patients were younger (median = 33 years) than those in a recent meta-analysis of medical procedures (mean = 39.5 years), and often presented with vomiting (87.3%), ataxia (84.7%), altered mental status (76.3%), and eye movement disorder (73.7%). Younger age seemed to protect against mental alterations and higher BMI against eye movement disorders. The WE treatment was often insufficient, specifically ignoring low parenteral thiamine levels (77.2%). In case of suspicion, thiamine levels should be tested and treated adequately with parenteral thiamine supplementation.

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Title: Preventing Wernicke Encephalopathy After Bariatric Surgery
Authors: Erik Oudman
Jan W. Wijnia
Mirjam van Dam
Laser Ulas Biter
Albert Postma
Publication date: 01-07-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 7/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3262-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preventing Wernicke Encephalopathy After Bariatric Surgery

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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