title: [Serious clinical manifestations of vitamin deficiency after a "sleeve" gastrectomy: role of psychogenic anorexia].
abstract: BACKGROUND
  Morbid obesity is an emerging condition in the general population. Bariatric surgery, which has demonstrated its effectiveness for weight loss, mortality and morbidity related to obesity, is required in some patients. However, it may be associated with various adverse effects, including vitamin deficiencies.
  
  
  METHODS
  We report a 33-year old man who presented central and peripheral neurological deficits and cardiac manifestations related to multiple vitamin deficiencies, following "sleeve" gastrectomy. The vitamin deficiencies were related to insufficient ingesta secondary to psychogenic anorexia. The patient improved with vitamins, antidepressant drugs and atypical neuroleptics.
  
  
  CONCLUSIONS
  Post-operative complications of "sleeve" gastrectomy include vitamin deficiencies that can develop in the context of psychogenic anorexia and ingesta reduction, in the absence of any digestive malabsorption.
authors: Département de médecine interne, équipe « médecine interne, maladies multi-organiques de l'adulte », université Montpellier 1, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: D
authors: D
authors: Cerutti
authors: Département de médecine interne, équipe « médecine interne, maladies multi-organiques de l'adulte », université Montpellier 1, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. Electronic address: p-guilpain@chu-montpellier.fr.
authors: P
authors: P
authors: Guilpain
authors: Département de médecine interne, équipe « médecine interne, maladies multi-organiques de l'adulte », université Montpellier 1, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: A
authors: A
authors: Schiffmann
authors: Département de médecine interne, équipe « médecine interne, maladies multi-organiques de l'adulte », université Montpellier 1, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: S
authors: S
authors: Rivière
authors: Département de neurologie, université Montpellier 1, hôpital Gui-De-Chauliac, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: C
authors: C
authors: Carra
authors: Département de neurologie, université Montpellier 1, hôpital Gui-De-Chauliac, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: P
authors: P
authors: Labauge
authors: Département de médecine interne, équipe « médecine interne, maladies multi-organiques de l'adulte », université Montpellier 1, hôpital Saint-Éloi, CHRU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
authors: A
authors: A
authors: Le Quellec
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000209:etiology*; D001361:Avitaminosis / Q000209:etiology*; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000097:blood / Q000523:psychology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D012720:Severity of Illness Index; D015431:Weight Loss / Q000502:physiology
keywords: Anorexie psychogène; Bariatric surgery; Beri-Beri; Béri-Béri; Carences vitaminiques; Chirurgie bariatrique; Encéphalopathie de Gayet-Wernicke; Gayet-Wernicke encephalopathy; Psychogenic anorexia; Thiamin; Thiamine; Vitamin deficiency