Journal article
Beriberi following sleeve gastrectomy
- Abstract:
- Bariatric surgery is being undertaken more frequently in response to rising levels of obesity but is increasingly also requested as a cosmetic choice. Nutritional deficiencies are a recognised consequence of gastrectomy, with potentially severe and permanent neurological sequelae. We present two cases of acute, severe polyneuropathy following sleeve gastrectomy. Severe thiamine deficiency was considered in both cases but with delayed proof and a significant initial differential diagnosis. Neurologists must have a high index of suspicion for the peripheral as well as central presentations of thiamine deficiency to avoid permanent disability. We also call for explicit information resources warning of the risk and signs of thiamine deficiency to be provided routinely to patients after gastrectomy.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
-
-
(Preview, Accepted manuscript, pdf, 426.3KB, Terms of use)
-
- Publisher copy:
- 10.1136/pn-2024-004219
Authors
- Publisher:
- BMJ Publishing Group
- Journal:
- Practical Neurology More from this journal
- Volume:
- 25
- Issue:
- 3
- Pages:
- 268-272
- Place of publication:
- England
- Publication date:
- 2024-07-26
- Acceptance date:
- 2024-06-25
- DOI:
- EISSN:
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1474-7766
- ISSN:
-
1474-7758
- Pmid:
-
39059794
- Language:
-
English
- Pubs id:
-
2019573
- Local pid:
-
pubs:2019573
- Deposit date:
-
2025-02-14
Terms of use
- Copyright holder:
- Liem et al.
- Copyright date:
- 2024
- Rights statement:
- © Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.
- Notes:
- This is the accepted manuscript version of the article. The final version is available online from BMJ Publishing Group at https://dx.doi.org/10.1136/pn-2024-004219
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