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Published on: November 14, 2020
Rare Neurological Complications After Sleeve Gastrectomy
Malek Tabbara1, Sergio Carandina2, Manuela Bossi2
1Assistance Publique Hôpitaux de Paris (AP-HP); Department of Digestive and Metabolic Surgery, Avicenne Hospital, Paris XIII University-University Hospitals of Paris Seine Saint-Denis, 125 rue de Stalingrad, 93000, Bobigny, France. malektabbara@gmail.com.
Neurological complications after sleeve gastrectomy (SG) are rare (1.18%), often linked to rapid weight loss and vitamin B1 deficiency. Early diagnosis and multidisciplinary care are key for managing these rare but serious bariatric surgery side effects.
Area of Science:
- Bariatric Surgery
- Neurology
- Endocrinology
Background:
- Bariatric surgery is effective for morbid obesity and related conditions like type II diabetes.
- Neurological complications can arise post-bariatric surgery, more commonly after bypass than sleeve gastrectomy (SG).
Purpose of the Study:
- To identify patients with post-operative neurological complications after SG.
- To describe the incidence, presentation, and management of these complications.
Main Methods:
- Retrospective study of 592 SG cases between 2009 and 2014.
- Focused analysis on patients who developed neurological complications.
Main Results:
- Seven patients (1.18%) experienced neurological complications post-SG.
- Symptoms included dysphagia, rapid weight loss, paresthesia, reflex loss, and deficits; two cases of Wernicke's encephalopathy occurred.
- All patients treated for vitamin B1 deficiency showed significant symptom improvement.
Conclusions:
- Neurological complications post-SG are rare but associated with gastrointestinal issues, rapid weight loss, and inadequate vitamin supplementation.
- Prompt re-hospitalization and multidisciplinary management are vital for diagnosis and treatment.
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