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[Peripheral neuropathies after bariatric surgery].
N Philippi1, S Vinzio, N Collongues
1Département de neurologie, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
Revue Neurologique
|April 26, 2011
Summary
Bariatric surgery can lead to various peripheral neuropathies, including small fiber, axonal, and demyelinating types, often associated with pain and nutritional deficiencies. Prevention and sometimes surgical revision are key treatment strategies.
Area of Science:
- Neurology
- Gastroenterology
- Surgical Science
Context:
- Bariatric surgery is a common procedure for obesity management.
- Peripheral neuropathies are a potential complication following bariatric surgery.
- Understanding these neuropathies is crucial for patient care.
Purpose:
- To detail the clinical, electrophysiological, biological, and histological features of peripheral neuropathy post-bariatric surgery.
- To characterize the spectrum of neuropathies observed in affected patients.
Summary:
- Five patients developed peripheral neuropathy after bariatric surgery, presenting with small fiber neuropathy, axonal polyneuropathy, or demyelinating polyradiculoneuropathy.
- Common features included neuropathic pain, significant weight loss, and multiple nutritional deficiencies.
- The underlying causes are multifactorial, involving nutritional, infectious, and immune-related mechanisms.
Impact:
- Highlights the diverse range of peripheral neuropathies complicating bariatric surgery.
- Emphasizes the importance of nutritional status and potential immune involvement.
- Informs preventive strategies and management, including the consideration of surgical revision.
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