title: Peroneal palsy after bariatric surgery; is nerve decompresion always necessary?
abstract: We present two patients who underwent successful bariatric surgery and developed peroneal nerve palsy six months after the procedure. This is an unusual complication which determines a significant functional limitation, mainly because of foot drop, and its presence may be a hallmark of excessive and rapid weight loss. We discuss possible pathogenic mechanisms and therapeutic options, and we emphasize the important role of an adequate nutritional management, in order to avoid the need for a surgical nerve decompression.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Clínico San Carlos, IdISSC, Madrid, España. ana.ramoslevi@gmail.com
authors.forename: Ana M
authors.initials: AM
authors.lastname: Ramos-Leví
authors.forename: Jordi A
authors.initials: JA
authors.lastname: Matías-Guiu
authors.forename: Antonio
authors.initials: A
authors.lastname: Guerrero
authors.forename: Andrés
authors.initials: A
authors.lastname: Sánchez-Pernaute
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Rubio
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D015904:Biliopancreatic Diversion; D015992:Body Mass Index; D019299:Decompression, Surgical / Q000379:methods*; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology* / Q000601:surgery; D020427:Peroneal Neuropathies / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D015431:Weight Loss