Obesity Surgery

, Volume 20, Issue 11, pp 1594–1596

Wernicke's Encephalopathy After Laparoscopic Roux-en-Y Gastric Bypass: A Misdiagnosed Complication

  • Antonio Iannelli
  • Pietro Addeo
  • Sebastien Novellas
  • Jean Gugenheim
Case Report

DOI: 10.1007/s11695-010-0116-0

Cite this article as:
Iannelli, A., Addeo, P., Novellas, S. et al. OBES SURG (2010) 20: 1594. doi:10.1007/s11695-010-0116-0

Abstract

Malabsorptive syndromes and micronutrient deficiencies represent well-known long-term complications of bariatric surgery. Wernicke's encephalopathy (WE), a neurologic manifestation of thiamine deficiency, has been classically associated with alcoholism or severe malnutrition, but rarely reported after bariatric surgery. Herein, we describe the case of a 27-year-old woman that developed WE 10 months after laparoscopic Roux-en-Y gastric bypass for morbid obesity that was initially misdiagnosed with a consequent retard in the appropriate treatment. Although only a few sporadic cases have been reported in the literature, all surgeons and physicians involved in the care of bariatric patients must be aware of this potentially serious complication.

Keywords

Wernicke's encephalopathyBariatric surgeryVomitingThiamine deficiencyGastric bypass

Copyright information

© Springer Science + Business Media, LLC 2010

Authors and Affiliations

  • Antonio Iannelli
    • 1
    • 2
    • 3
  • Pietro Addeo
    • 1
    • 2
    • 3
  • Sebastien Novellas
    • 4
  • Jean Gugenheim
    • 1
    • 2
    • 3
  1. 1.Service de Chirurgie Digestive et Centre de Transplantation Hepatique, Hopital Archet 2Nice Cedex 3France
  2. 2.Centre Hospitalier Universitaire de Nice, Pôle DigestifNiceFrance
  3. 3.Faculté de MédecineUniversité de Nice-Sophia-AntipolisNiceFrance
  4. 4.Service d’Imagerie diagnostique et Interventionelle, Hopital Archet 2Nice Cedex 3France