Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Villar, H. V.
Right arrow Articles by Ranne, R. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Villar, H. V.
Right arrow Articles by Ranne, R. D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Case Reports

Neurologic Deficit following Gastric Partitioning: Possible Role of Thiamine

Hugo V. Villar, M.D., F.A.C.S.

Department of Surgery, University of Arizona, Health Sciences Center, Tucson, Arizona

Richard D. Ranne, M.D.

Department of Surgery, University of Arizona, Health Sciences Center, Tucson, Arizona

Gastric partitioning has been proposed as an alternative to jejunoileal bypass for the control of morbid obesity because of the relative ease of performance and the lack of metabolic complications. From our series of 250 patients who underwent gastric partitioning, one of them developed a neurologic syndrome consistent with Wernicke's disease. The clinical findings were characterized by ataxia, confusion, impaired extra-ocular movements with diplopia, and weakness. A second patient with a similar condition was referred to us for evaluation and treatment. Pretreatment thiamine levels were normal in one case and revealed thiamine deficiency in the second. The study group of 15 patients had thiamine and red-cell transketolase levels determined before, 6 wk, and 1 yr after gastric partitioning. A significant drop in values was seen at 6 wk postoperatively. Gastric partitioning is a safe and effective alternative to jejunoileal bypass in the control of morbid obesity. However, severe permanent neurologic deficits, probably related to thiamine deficiency, may occur. (Journal of Parenteral and Enteral Nutrition 8:575-578, 1984)

Journal of Parenteral and Enteral Nutrition, Vol. 8, No. 5, 575-578 (1984)
DOI: 10.1177/0148607184008005575
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 NeurologyHome page
K. Juhasz-Pocsine, S. A. Rudnicki, R. L. Archer, and S. I. Harik
Neurologic complications of gastric bypass surgery for morbid obesity
Neurology, May 22, 2007; 68(21): 1843 - 1850.
[Abstract] [Full Text] [PDF]

Home page
 NeurologyHome page
S. Singh and A. Kumar
Wernicke encephalopathy after obesity surgery: A systematic review
Neurology, March 13, 2007; 68(11): 807 - 811.
[Abstract] [Full Text] [PDF]

Home page
 Arch NeurolHome page
J. R. Berger
The Neurological Complications of Bariatric Surgery
Arch Neurol, August 1, 2004; 61(8): 1185 - 1189.
[Full Text] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
R. Kushner
Managing the Obese Patient After Bariatric Surgery: A Case Report of Severe Malnutrition and Review of the Literature
JPEN J Parenter Enteral Nutr, March 1, 2000; 24(2): 126 - 132.
[Abstract] [PDF]