"Syndrome in syndrome": Wernicke syndrome due to afferent loop syndrome. Case report and review of the literature.
Wernicke syndrome is a rare neurological pathology due to a deficit in vitamin B1. The syndrome is common among alcohol abusers, patients with malignant tumor or gastrointestinal diseases, those who undergo hemodialysis or long-term peritoneal dialysis, pregnant women with hyperemesis, women who breast-feed, patients with hyperthyroidism or anorexia nervosa or gastric or jejunal-ileal bypass surgery for obesity, patients submitted to gastric surgery or prolonged total parenteral nutrition or prolonged intravenous therapy. We report a case of Wernicke syndrome due to afferent loop syndrome characterized by incoercible vomiting.
University of Bari, Italy.
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D'Abbicco
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Praino
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Amoruso
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Notarnicola
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Margari
D000230:Adenocarcinoma / Q000601:surgery; D000343:Afferent Loop Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D014670:Ampulla of Vater / Q000601:surgery; D000714:Anastomosis, Surgical; D001921:Brain / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D013505:Digestive System Surgical Procedures; D017809:Fatal Outcome; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015607:Stents; D013831:Thiamine / Q000493:pharmacokinetics; D014839:Vomiting / Q000209:etiology; D014899:Wernicke Encephalopathy / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery
D013831:Thiamine