Abstract
Though early postoperative complications like bleed, leak, etc. are commonly discussed, long-term issues like neurological complications are rarely discussed in bariatric forums. Mostly associated with nutritional deficiencies, neurological complications are often diagnosed late underscoring the importance of increasing awareness of this complication. Encephalopathy, behavioral abnormalities, seizures, cranial nerve palsies, ataxia, myelopathy, plexopathies, peripheral neuropathy, mono-neuropathies, compartment syndromes, myopathy, myotonia, etc. are some of the potential neurological complications after bariatric/metabolic surgery. Most of these are preventable and hence clinicians must be aware of these possibilities as early detection is the key to successful management.
All answers lie in the neurons.
― Abhijit Naskar
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References
Frantz DJ. Neurologic complications of bariatric surgery: involvement of central, peripherical and enteric nervous system. Curr Gastroenterol Rep. 2012;14:367–72.
Aghili R, Malek M, Tanha K, Mottaghi A. The effect of Bariatric surgery on Peripheral polyneuropathy: a systematic review and meta-analysis. Obes Surg. 2019 Sep;29(9):3010–20.
Koffman BM, Greenfield J, Ali II, et al. Neurologic complications after surgery for obesity. Muscle Nerve. 2006;33(2):166–76.
Abarbanel JM, Berginer VM, Osimani A, et al. Neurologic complications after gastric restriction surgery for morbid obesity. Neurology. 1987;37(2):196–200.
Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG. A controlled study of peripheral neuropathy after bariatric surgery. Neurology. 2004;63(8):1462–70.
Tabbara M, Carandina S, Bossi M, et al. Rare neurological complications after sleeve gastrectomy. Obes Surg. 2016;26:2843–8.
Kramer LD, Locke GE. Wernicke’s encephalopathy. Complication of gastric plication. J Clin Gastroenterol. 1987;9(5):549–52.
Sola E, Morillas C, Garzon S, Ferrer JM, Martin J, Hernandez-Mijares A. Rapid onset of Wernicke’s encephalopathy following gastric restrictive surgery. Obes Surg. 2003;13(4):661–2.
Dreyfus PM, Victor M. Effects of thiamine deficiency on the central nervous system. Am J Clin Nutr. 1961;9:414–25.
Ke ZJ, DeGiorgio LA, Volpe BT, Gibson GE. Reversal of thiamine deficiency-induced neurodegeneration. J Neuropathol Exp Neurol. 2003;62(2):195–207.
Sechi G. Prognosis and therapy of Wernicke’s encephalopathy after obesity surgery. Am J Gastroenterol. 2008;103(12):3219.
Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014;24:1800–7.
Juhasz-Pocsine K, Rudnicki SA, Archer RL, et al. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology. 2007;68(21):1843–50.
Berger JR. The neurological complications of bariatric surgery. Arch Neurol. 2004;61(8):1185–9.
Lindenbaum J, Healton EB, Savage DG, et al. Neuropsychiatric disorders caused by cobalamin deficiency in the absence of anemia or macrocytosis. N Engl J Med. 1988;318(26):1720–8.
Puntambekar P, Basha MM, Zak IT, Madhavan R. Rare sensory and autonomic disturbances associated with vitamin B12 deficiency. J Neurol Sci. 2009;287(1–2):285–7.
Aills L, Blankenship J, Buffington C, Furtado M, Parrott J. ASMBS allied health nutritional guidelines for the surgical weight loss patient. Surg Obes Relat Dis. 2008;4(5):S73–S108.
Boylan LM, Sugerman HJ, Driskell JA. Vitamin E, vitamin B-6, vitamin B-12, and folate status of gastric bypass surgery patients. J Am Diet Assoc. 1988;88(5):579–85.
Heber D, Greenway FL, Kaplan LM, Livingston E, Salvador J, Still C. Endocrine and nutritional management of the post-bariatric surgery patient: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2010;95(11):4823–43.
Lopez JF, Halimi S, Perillat Y. Pellagra-like erythema following vertical banded gastroplasty for morbid obesity [in French]. Ann Chir. 2000;125:297–8.
Marinella MA. Ophthalmoplegia: an unusual manifestation of hypocalcemia. Am J Emerg Med. 1999;17:105–6.
Banerji NK, Hurwitz LJ. Nervous system manifestations after gastric surgery. Acta Neurol Scand. 1971;47(4):485–513.
Sokol RJ. Vitamin E deficiency and neurologic disease. Annu Rev Nutr. 1988;8:351–73.
Rudnicki SA. Prevention and treatment of peripheral neuropathy after bariatric surgery. Curr Treat Options Neurol. 2010;12(1):29–36.
Kumar N, McEvoy KM, Ahlskog JE. Myelopathy due to copper deficiency following gastrointestinal surgery. Arch Neurol. 2003;60:1782–5.
Şen O, Karaca FC, Türkçapar A. Neurological complication after laparoscopic sleeve gastrectomy: foot drop. Obes Surg. 2019;30:957. https://doi.org/10.1007/s11695-019-04285-6.
Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014 Oct;24(10):1800–7.
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Goel, R., Nasta, A., Goel, M. (2021). Neurological Complications After Bariatric Surgery. In: Bhasker, A.G., Kantharia, N., Baig, S., Priya, P., Lakdawala, M., Sancheti, M.S. (eds) Management of Nutritional and Metabolic Complications of Bariatric Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-33-4702-1_13
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