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Obesity Surgery
Published in: Obesity Surgery 12/2020

01-12-2020 | Sleeve Gastrectomy | Letter to the Editor

Wernicke Encephalopathy After Sleeve Gastrectomy

Authors: Carlos A. Casalnuovo, Carlos A. Vera Cedeño, Claudia A. Refi, Mario A. Suarez García

Published in: Obesity Surgery | Issue 12/2020

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Abstract

Wernicke encephalopathy (WE) is a rare and serious complication of obesity surgery. This is a report of one case of WE after a sleeve gastrectomy. The diagnosis is primarily clinical; the persistent and prolonged vomiting, and noncompliance to vitamin intake are two major risk factors to develop WE. It is especially important to rule out for stenosis or obstructions of the upper digestive tract after surgery. MRI is useful with high specificity to support the diagnosis as in our case, and discard other causes. Treatment should not be delayed. The outcome of WE is not always predictable. The full recovery is not always achieved, but there is improvement over the time as in this case.
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Kröll D, Laimer M, Borbély Y, et al. Wernicke encephalopathy: a future problem even after sleeve gastrectomy? A Systematic Literature Review Obes Surg. 2016;26:205–12.PubMed
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Pampillón N, Reynoso C, Solimano M, et al. Actualización del consenso argentino de nutrición en cirugía bariátrica. Update of Argentine nutrition consensus on bariatric surgery. Actualización en Nutrición. 2016;17:19–32.
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Metadata
Title
Wernicke Encephalopathy After Sleeve Gastrectomy
Authors
Carlos A. Casalnuovo
Carlos A. Vera Cedeño
Claudia A. Refi
Mario A. Suarez García
Publication date
01-12-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04778-9

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