دورية أكاديمية
Wernicke Encephalopathy After Roux-en-Y Gastric Bypass Presenting with Altered Mental Status-A Video Case Report.
العنوان: | Wernicke Encephalopathy After Roux-en-Y Gastric Bypass Presenting with Altered Mental Status-A Video Case Report. |
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المؤلفون: | Chen CC; Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan., Chang PC; School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung City, Taiwan.; Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.; Weight Management Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.; Department of Sports Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan.; Ph. D. Program in Biomedical Engineering, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan., Chang TW; Division of Thoracic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.; Weight Management Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan., Chuang HY; Weight Management Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan. kawaiifish0517@outlook.com.; Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Road, 80756, Kaohsiung City, Taiwan. kawaiifish0517@outlook.com. |
المصدر: | Obesity surgery [Obes Surg] 2024 Jun; Vol. 34 (6), pp. 2271-2273. Date of Electronic Publication: 2024 Apr 24. |
نوع المنشور: | Case Reports; Journal Article; Video-Audio Media |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2006- : New York : Springer Science + Business Media Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991- |
مواضيع طبية MeSH: | Wernicke Encephalopathy*/etiology , Gastric Bypass*/adverse effects , Obesity, Morbid*/surgery , Thiamine*/administration & dosage , Thiamine*/therapeutic use, Humans ; Male ; Thiamine Deficiency/etiology ; Adult ; Postoperative Complications ; Vitamin B Complex/administration & dosage ; Vitamin B Complex/therapeutic use |
مستخلص: | 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. (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
References: | 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. (PMID: 10.1111/imj.1252225201422) Oudman E, Wijnia JW, van Dam M, et al. Preventing Wernicke encephalopathy after bariatric surgery. Obes Surg. 2018;28(7):2060–8. (PMID: 10.1007/s11695-018-3262-4296932186018594) Yu AT, Gross A, Park K, et al. Wernicke encephalopathy after bariatric surgery: a literature review. Obes Surg. 2023;33(11):3621–7. (PMID: 10.1007/s11695-023-06840-837798508) Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20. (PMID: 10.1097/SLA.0b013e318188430818948797) Singh S, Kumar A. Wernicke encephalopathy after obesity surgery: a systematic review. Neurology. 2007;68(11):807–11. (PMID: 10.1212/01.wnl.0000256812.29648.8617353468) Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55. (PMID: 10.1016/S1474-4422(07)70104-717434099) 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. (PMID: 333807167784713) |
فهرسة مساهمة: | Keywords: Laparoscopic Roux-en-Y gastric bypass; Severe obesity; Wernicke encephalopathy |
المشرفين على المادة: | X66NSO3N35 (Thiamine) 12001-76-2 (Vitamin B Complex) |
تواريخ الأحداث: | Date Created: 20240424 Date Completed: 20240525 Latest Revision: 20240531 |
رمز التحديث: | 20240601 |
DOI: | 10.1007/s11695-024-07216-2 |
PMID: | 38658468 |
قاعدة البيانات: | MEDLINE |
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