Surgery for Obesity and Related Diseases
Volume 6, Issue 1 , Pages 105-106 , January 2010

Thiamine deficiency in a gastric bypass patient leading to acute neurologic compromise after plastic surgery

  • Jeffrey L. Sebastian, M.D.

      Affiliations

    • University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California
    • ,
  • Joseph Michaels V, M.D.

      Affiliations

    • University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
    • ,
  • Lawton W. Tang, M.D.

      Affiliations

    • Private Practice, Pasadena, California
    • ,
  • J. Peter Rubin, M.D.

      Affiliations

    • University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
    • Corresponding Author InformationReprint requests: J. Peter Rubin, M.D., University of Pittsburgh Medical Center, 3380 Boulevard of the Allies, Suite 180, Pittsburgh, PA 15213

Received 26 April 2009 ,Accepted 27 April 2009.

References 

  1. Abarbanel JM, Berginer VM, Osimani A, Solomon H, Charuzi I. Neurologic complications after gastric restriction surgery for morbid obesity. Neurology. 1987;37:196–200
  2. Cirignotta F, Manconi M, Mondini S, Buzzi G, Ambrosetto P. Wernicke-Korsakoff encephalopathy and polyneuropathy after gastroplasty for morbid obesity: report of a case. Arch Neurol. 2000;57:1356–1359
  3. Haid RW, Gutmann L, Crosby TW. Wernicke-Korsakoff encephalopathy after gastric plication. JAMA. 1982;247:2566–2567
  4. Fawcett S, Young GB, Holliday RL. Wernicke's encephalopathy after gastric partitioning for morbid obesity. Can J Surg. 1984;27:169–170
  5. Salas-Salvadó J, García-Lorda P, Cuatrecasas G, et al. Wernicke's syndrome after bariatric surgery. Clin Nutr. 2000;19:371–373
  6. Solá E, Morillas C, Garzón S, Ferrer JM, Martín J, Hernádex-Mijares A. Rapid onset of Wernicke's encephalopathy following gastric restrictive surgery. Obes Surg. 2003;13:661–662
  7. Warnock LG. Transketolase activity of blood hemolysate, a useful index for diagnosing thiamine deficiency. Clin Chem. 1975;21:432–436
  8. Lu J, Frank EL. Rapid HPLC measurement of thiamine and its phosphate esters in whole blood. Clin Chem. 2008;54:901–906
  9. Mason M, Jalagani H, Vinik AI. Metabolic complications of bariatric surgery: diagnosis and management issues. Gastroenterol Clin North Am. 2005;34:25–33
  10. Navarro D, Zwingmann C, Chatauret N, Butterworth RF. Glucose loading precipitates focal lactic acidosis in the vulnerable medial thala mus of thiamine-deficient rats. Metab Brain Dis. 2008;23:115–122

PII: S1550-7289(09)00488-2

doi: 10.1016/j.soard.2009.04.017

Surgery for Obesity and Related Diseases
Volume 6, Issue 1 , Pages 105-106 , January 2010

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