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Wernicke Encephalopathy after Sleeve Gastrectomy: A Case Report

Abstract

Nowak M, Niedziela N, Kubicka-Baczyk K and Adamczyk-Sowa M

The number of obese patient’s increases, and bariatric procedures have become more common. The total number of these procedures in Poland was 1958 in 2016. Malabsorption, rapid weight loss and vomiting can predispose patients to nutritional deficiencies following surgery. After bariatric surgery, the majority of vitamin and mineral deficiencies seem to be asymptomatic. However, in some cases both reversible and irreversible neurological symptoms may be observed. Punchai et al. observed that the incidence of neurological complications due to vitamin B deficiency was 0.7%. Wernicke Encephalopathy (WE) is an acute disorder resulting from thiamine deficiency and is characterized by neuropsychiatric symptoms such as ataxia, ophthalmoplegia and confusion. We present a case of a 29-year-old woman who developed WE after sleeve gastrectomy.

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