Skip to main content

Advertisement

Log in

More than a Case Report? Should Wernicke Encephalopathy After Sleeve Gastrectomy be a Concern?

  • Letter to the Editor
  • Published:
Obesity Surgery Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes. Surg. 2013;23(4):427–36.

    Article  PubMed  Google Scholar 

  2. Gumbs AA, Gagner M, Dakin D. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17:962–9.

    Article  PubMed  Google Scholar 

  3. Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 cases and 3-year follow-up. Obes Surg. 2012;22(6):866–71.

    Article  PubMed  Google Scholar 

  4. Gehrer S, Kern B, Peters T, et al. Fewer nutrient deficiencies after laparoscopic sleeve gastrectomy (LSG) than after laparoscopic Roux-Y-gastric bypass (LRYGB)-a prospective study. Obes Surg. 2010;20(4):447–53.

    Article  PubMed  Google Scholar 

  5. Rothkopf MM, Sobelman JS, Mathis AS, et al. Micronutrient responsive cerebral dysfunction other than Wernicke’s encephalopathy after malabsorptive surgery. Surg Obes Relat Dis: Off J Am Soc BariatrSurg. 2010;6(2):171–80.

    Article  Google Scholar 

  6. Health. NIo. Wernicke-Korsakoff syndrome. http://www.nlm.nih.gov/medlineplus/ency/article/000771.htm. Accessed September 20, 2006.

  7. Singh S, Kumar A. Wernicke encephalopathy after obesity surgery: a systematic review. Neurology. 2007;68(11):807–11.

    Article  PubMed  Google Scholar 

  8. Kaidar-Person O, Person B, Szomstein S, et al. Nutritional deficiencies inmorbidly obese patients: a newform of malnutrition? Part a: vitamins. Obes Surg. 2008;18(7):870–6.

    Article  PubMed  Google Scholar 

  9. Sechi G, Serra A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55.

    Article  CAS  PubMed  Google Scholar 

  10. Becker DA, Balcer LJ, Galetta SL. The neurological complications of nutritional deficiency following bariatric surgery. J Obes. 2012;2012:608534,8pages.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Davies DJ, Baxter JM, Baxter JN. Nutritional deficiencies after bariatric surgery. Obes Surg. 2007;17(9):1150–8.

    Article  CAS  PubMed  Google Scholar 

  12. Kröll D, Laimer M, Borbély YM, et al. Obes Surg. 2016;26:205. doi:10.1007/s11695-015-1927-9.

    Article  PubMed  Google Scholar 

  13. Bloomberg RD, Fleishman A, Nalle JE, et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg. 2005;15(2):145–54.

    Article  PubMed  Google Scholar 

  14. Aasheim ET. Wernicke encephalopathy after bariatric surgery: a systematic review. Ann Surg. 2008;248(5):714–20.

    PubMed  Google Scholar 

  15. Jeong HJ, Park JW, Kim YJ, et al. Wernickes encephalopathy after sleeve gastrectomy for morbid obesity—a case report. Ann Rehabil Med. 2011;35:583–6.

  16. Ernst B, Thurnheer M, Schmid SM, et al. Evidence for the necessity to systematically assess micronutrient status prior to bariatric surgery. Obes Surg. 2009;19(1):66–73.

    Article  PubMed  Google Scholar 

  17. Moize V, Andreu A, Flores L, et al. Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-En-Y gastric bypass in a Mediterranean population. J Acad Nutr Diet. 2013;113(3):400–10.

    Article  PubMed  Google Scholar 

  18. Saif T, Strain GW, Dakin G, et al. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis: Off J Am Soc Bariatr Surg. 2012;8(5):542–7.

    Article  Google Scholar 

  19. Manatakis DK, Georgopoulos N. A fatal case of Wernicke’s encephalopathy after sleeve gastrectomy for morbid obesity. Case Reports in Surgery. 2014;2014:4. doi:10.1155/2014/281210.281210

  20. Sullivan E, Pfefferbaum A. Neuroimaging of the Wernicke–Korsakoff syndrome. Alcohol. 2009;44:155–65. doi:10.1093/ alcalc/agn103.

    Article  Google Scholar 

  21. Kroll D, Laimer M, Borbe’ly YM, et al. Wernicke encephalopathy: a future problem even after sleeve gastrectomy? A systematic literature review. Obes Surg. 2016;26:205–12. doi:10.1007/s11695-015-1927-9.

    Article  PubMed  Google Scholar 

  22. Zuccoli G, Cruz DS, Bertolini M, et al. MR imaging findings in 56 patients with wernicke encephalopathy: nonalcoholics may differ from alcoholics. Am J Neuroradiol. 2009;30(1):171–6.

    Article  CAS  PubMed  Google Scholar 

  23. Galvin R, Brathen G, Ivashynka A, et al. EFNS guidelines for diagnosis, therapy and prevention of Wernicke encephalopathy. Eur J Neurol: Off J Eur Federat Neurol Soc. 2010;17(12):1408–18.

    Article  CAS  Google Scholar 

  24. Iannelli A, Addeo P, Novellas S, et al. Wernicke’s encephalopathy after laparoscopic Roux-en-Y gastric bypass: a misdiagnosed complication. Obes Surg. 2010;20(11):1594–6.

    Article  PubMed  Google Scholar 

  25. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract. 2013;19(2):337–72.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Radwan Kassir.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dirani, M., Chahine, E., Dirani, M. et al. More than a Case Report? Should Wernicke Encephalopathy After Sleeve Gastrectomy be a Concern?. OBES SURG 27, 2684–2687 (2017). https://doi.org/10.1007/s11695-017-2823-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-017-2823-2

Navigation