Peripheral Neuropathies after Bariatric Surgery: A Current Review

Stoll, Aluisio; Alves, Neto Dedi Ferreira; da, Silva Évelin Pereira; Daiane, Papes Kéli; Carolina, MianoSelbach Maria; de, Souza; Caroline, Breis Letícia; Fiuza, Parolim Laura; T, Jose; Magno, Gonçalves Marcus Vinícius

doi:10.23937/2378-3001/1410107

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Peripheral neuropathy is one of the most common neurological experiences for bariatric patients, with significant weight loss affecting between 16%-60% of patients [130,131] . The large variability in reported numbers is due to the broad criteria used to identify peripheral neuropathy and different postoperative parameters across studies [132] .…”

Section: Peripheral Neural Palsymentioning

confidence: 99%

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Harrington,

Kang,

Telesca

et al. 2023

Metab Target Organ Damage

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The increasing prevalence of worldwide obesity calls for a comprehensive understanding of available treatment options. Bariatric surgery remains a very effective obesity treatment, showing substantial effects on obesity-related complications, including type 2 diabetes mellitus and cardiovascular disease, mainly related to significant long-term weight loss. Besides the benefits, weight loss can lead to some deleterious consequences, such as gallstones, constipation, muscle mass loss, bone fractures, vitamin deficiencies, peripheral neural palsy, suicide, eating disorders, alcohol dependency syndrome, and increased divorce. Those consequences may also be seen after long-term effective pharmacotherapy for obesity. Understanding these risks will lead to improved awareness and successful treatment with both surgical and nonsurgical treatments.

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Section: Peripheral Neural Palsymentioning

confidence: 99%

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Harrington,

Kang,

Telesca

et al. 2023

Metab Target Organ Damage

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show abstract

“…Peripheral neuropathy is the most common neurological complication after gastric surgery, with rates ranging from 5-16% in studies (2,3). This can be due to de ciencies in B12, thiamine, and copper (Gasmi et al, 2022;Stoll et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Autonomic Nervous System Status with Sympathetic Skin Response in Patients Undergoing Laparoscopic Sleeve Gastrectomy for Morbid Obesity

Elkan,

Ağırcan,

Yüksekyayla

et al. 2024

Preprint

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Introduction and Purpose: Obesity is the most common metabolic disease of our time. Bariatric surgery is now accepted as the definitive treatment for morbidly obese patients. The most commonly performed bariatric surgery method is “Laparoscopic Sleeve Gastrectomy (LSG)”. Patients often report various complaints related to the autonomic nervous system after obesity surgery. Sympathetic Skin Response (SSR) is a simple and non-invasive test used for the early diagnosis of dysautonomia in peripheral neuropathy, demonstrating the function of postganglionic unmyelinated sympathetic sudomotor fibers by using changes in skin resistance. This study aims to evaluate the autonomic nervous system status in patients undergoing LSG for morbid obesity using Sympathetic Skin Response (SSR). Method: The study was conducted prospectively with 40 volunteer patients who applied to Harran University Hospital General Surgery Department, had a BMI over 40, and underwent obesity surgery. Patients were neurologically evaluated in the preoperative period. The patients deemed suitable in the evaluation had their SSR recorded with tests conducted by the Neurology Department. The same group of patients had their sympathetic skin responses evaluated and recorded 6 months postoperatively, and statistical analyses were conducted. Findings: The decrease in BMI and SSR latency values before surgery compared to after surgery (p<0.001; p<0.001, respectively) and the increase in SSR amplitude values were found to be statistically significant (p<0.001). Discussion and Conclusion: Our study detected a significant increase in sympathetic skin response post-surgery. Hormonal changes such as the improvement of insulin resistance and the decrease in leptin levels, as well as the stressful nature of the surgical process, might lead to an increase in sympathetic nervous system activity. We believe that performing the low-cost and simple SSR test in patients undergoing obesity surgery could be important for the follow-up of potential neuropathies in the future.

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Peripheral Neuropathies after Bariatric Surgery: A Current Review

Cited by 2 publications

References 26 publications

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Long-term complications of significant weight loss: lessons learned from bariatric surgery

Evaluation of Autonomic Nervous System Status with Sympathetic Skin Response in Patients Undergoing Laparoscopic Sleeve Gastrectomy for Morbid Obesity

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