Rapid onset of Wernicke's encephalopathy following gastric restrictive surgery.
A patient with severe vomiting following gastric banding developed Wernicke's encephalopathy. All neurological disorders disappeared with thiamine treatment. This complication may be prevented by keen awareness, early diagnosis and treatment, in patients with persistent vomiting. Vitamin and mineral supplementation must be taken in patients following bariatric surgery.
Solá
Eva
E
Department of Endocrinology, Dr. Peset Universitary Hospital, Valencia, Spain. solaeva@yahoo.es
Morillas
Carlos
C
Garzón
Sandra
S
Ferrer
José Manuel
JM
Martín
Javier
J
Hernández-Mijares
Antonio
A
D000328:Adult; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D020250:Postoperative Nausea and Vomiting / Q000150:complications*; D013831:Thiamine / Q000627:therapeutic use; D013832:Thiamine Deficiency / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013997:Time Factors; D014899:Wernicke Encephalopathy / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D013831:Thiamine