Peripheral polyneuropathy from thiamine deficiency following laparoscopic Roux-en-Y gastric bypass.
The neurologic form of beriberi has been described in multiple case reports following bariatric surgery for morbid obesity. Thiamine deficiency occurs due to marked emesis and/or altered absorption secondary to the reconfiguration of the gastrointestinal tract to achieve the malabsorption needed to achieve weight loss. This case report illustrates the typical presentation of a patient after gastric bypass, and highlights the symptoms that bariatric surgeons must detect and reviews the treatment.
Angstadt
John D
JD
Memorial Health Bariatrics, Savannah, GA 31404, USA. lapsurgeon@bellsouth.net
Bodziner
Richard A
RA
D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D011115:Polyneuropathies / Q000209:etiology*; D013832:Thiamine Deficiency / Q000150:complications / Q000209:etiology*; D014839:Vomiting / Q000150:complications