Cic edizioni internazionali
Il Giornale di Chirurgia

Severe neurological complication following adjustable gastric banding

Clinical practice, 92 - 96
doi: 11138/gchir/2018.39.2.092
Tag this article
Abstract
Full text PDF
Aim. In the last years with the increase of bariatric surgery, first of all as a result of new indications, a rise in the incidence of nutrient-related complications has been observed. Currently little is known about the impact of post-bariatric malnutrition and neurological complications.
Wernicke's encephalopathy is a severe neurological syndrome which occurs as a result of thiamine deficiency. Wernicke-Korsakoff syndrome must be considered a serious neurological complication of bariatric surgery with significant morbidity and mortality, with rapidly progressing neurological symptoms, and must be treated immediately.
Case report. We report the case of a 35 years-old male patient, affected by morbid obesity, anxious-depressive syndrome and alcohol use disorder, who after adjustable gastric banding implanted in another hospital developed a severe malnutrition and neurological syndrome.
The patient showed poor adherence to the follow-up and to the dietary indications and after all, we needed to place a PEG for enteral nutrition in order to resolve the malnutrition condition and the neurological syndrome.
Our experience emphasizes that preoperative selection and assessment of a patient's nutritional status according to guidelines, is required to identify potential problems, and that bariatric surgeons or physicians caring for patient who have undergone bariatric surgery should be familiar with the constellation of nutritional and neurological disorder that may occur after surgery.
Conclusion. We want to remark the importance of preoperative selection of the patients, the follow-up and the cooperation between patient and physician in order to obtain the best result and avoid severe complications.

Vol. XXXIX (No. 2) 2018 March-April

  1. Does the Internet provide patients or clinicians with useful information regarding faecal incontinence? An observational study
    Leo C.A., Murphy J., Hodgkinson J.D., Vaizey C.J., Maeda Y.
    doi: 11138/gchir/2018.39.2.071
  2. The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia
    Kontopodis N., Papaioannou A., Tavlas E., Papadopoulos G., Lioudaki S., Tzirakis K., Ioannou C.V.
    doi: 11138/gchir/2018.39.2.077
  3. Totally laparoscopic resection and extraction of specimens via transanal route in synchronous colon and gastric cancer
    Sumer F., Karakas S., Gundogan E., Sahin T., Kayaalp C.
    doi: 11138/gchir/2018.39.2.082
  4. Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? A multicenter retrospective study
    Lauro A., Vaccari S., Cervellera M., Casella G., D'Andrea V., Di Matteo F.M., Panarese A., Santoro A., Cirocchi R., Tonini V.
    doi: 11138/gchir/2018.39.2.087
  5. Severe neurological complication following adjustable gastric banding
    Martines G., Musa N., Aquilino F., Capuano P.
    doi: 11138/gchir/2018.39.2.092
  6. Malakoplakia of the large intestine: an incidental extremely rare finding
    Koutserimpas C., Ioannidis A., Demonakou M., Siaperas P., Skarpas A., Velimezis G., Karanikas I.
    doi: 11138/gchir/2018.39.2.097
  7. Superior vena cava syndrome due to central port catheter thrombosis: a real life-threatening condition
    Lianos G.D., Hasemaki N., Tzima E., Vangelis G., Tselios A., Mpailis I., Lekkas E.
    doi: 11138/gchir/2018.39.2.101
  8. Primary abdominal wall endometriosis: presentation of rarely seen two cases
    Ferhatoglu M.F., Senol K.
    doi: 11138/gchir/2018.39.2.107
  9. A case of peduncolated Brunner's gland hamartoma
    Tornambè A., Tornambè G.
    doi: 11138/gchir/2018.39.2.111
  10. Paget’s disease of the male breast: case report and a point of view from actual literature
    Vergine M., Musella A., Gulotta E., Frusone F., De Luca A., Maceli F., Libia A., Benedetti Panici P., Monti M.
    doi: 11138/gchir/2018.39.2.114
Last Viewed articles: la lista degli ultimi x visitati.
  1. Severe neurological complication following adjustable gastric banding
    Martines G., Musa N., Aquilino F., Capuano P.
    doi: 11138/gchir/2018.39.2.092
credits