Wernicke’s encephalopathy after sleeve gastrectomy: Literature review

Pardo-Aranda, Fernando; Pérez-Romero, Noelia; Osorio, Javier; Rodriguez-Santiago, Joaquín; Muñoz, Emilio Muñoz; Puértolas, Noelia; Veloso, E

doi:10.1016/j.ijscr.2016.01.016

Cited by 21 publications

(11 citation statements)

References 15 publications

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“…WE has been reported after purely restrictive procedures (e.g., LAGB, SG, and IGB) and may in large part reflect preexisting thiamine undernutrition; routine assessment of thiamine status in any patient after bariatric surgery with any early or suggestive features of WE is recommended . For example, in patients after bariatric surgery, fundoscopic exam can detect the early findings of a severe thiamine deficiency at risk for WE: retinal hemorrhage, optic disc edema, and peripapillary telangiectasia .…”

Section: Executive Summarymentioning

confidence: 99%

Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

340

464

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Objective The development of these updated clinical practice guidelines (CPGs) was commissioned by the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), American Society for Metabolic and Bariatric Surgery (ASMBS), Obesity Medicine Association (OMA), and American Society of Anesthesiologists (ASA) Boards of Directors in adherence with the AACE 2017 protocol for standardized production of CPGs, algorithms, and checklists. Methods Each recommendation was evaluated and updated based on new evidence from 2013 to the present and subjective factors provided by experts. Results New or updated topics in this CPG include: contextualization in an adiposity‐based chronic disease complications‐centric model, nuance‐based and algorithm/checklist‐assisted clinical decision‐making about procedure selection, novel bariatric procedures, enhanced recovery after bariatric surgery protocols, and logistical concerns (including cost factors) in the current health care arena. There are 85 numbered recommendations that have updated supporting evidence, of which 61 are revised and 12 are new. Noting that there can be multiple recommendation statements within a single numbered recommendation, there are 31 (13%) Grade A, 42 (17%) Grade B, 72 (29%) Grade C, and 101 (41%) Grade D recommendations. There are 858 citations, of which 81 (9.4%) are evidence level (EL) 1 (highest), 562 (65.5%) are EL 2, 72 (8.4%) are EL 3, and 143 (16.7%) are EL 4 (lowest). Conclusions Bariatric procedures remain a safe and effective intervention for higher‐risk patients with obesity. Clinical decision‐making should be evidence based within the context of a chronic disease. A team approach to perioperative care is mandatory, with special attention to nutritional and metabolic issues.

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Section: Executive Summarymentioning

confidence: 99%

Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures – 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists

Mechanick

Apovian

Brethauer

et al. 2020

Obesity

340

464

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“…Concerns have arisen with regard to breastfeeding in mothers who have undergone bariatric surgery (142). Case reports have been published on severe vitamin B-12 deficiency in exclusively breastfed infants born to mothers who underwent RYGB and who were found to have low vitamin B-12 concentrations (143)(144)(145).…”

Section: Pregnancy After Bariatric Surgerymentioning

confidence: 99%

Nutritional Recommendations for Adult Bariatric Surgery Patients: Clinical Practice

Sherf-Dagan¹,

Goldenshluger

Globus³

et al. 2017

Advances in Nutrition

227

133

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Bariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications. To ensure long-term postoperative success, patients must be prepared to adopt comprehensive lifestyle changes. This review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and long-term postoperative periods. A literature search was performed with the use of different lines of searches for narrative reviews. Nutritional recommendations are divided into 3 main sections: ) presurgery nutritional evaluation and presurgery diet and supplementation;) postsurgery diet progression, eating-related behaviors, and nutritional therapy for common gastrointestinal symptoms; and ) recommendations for lifelong supplementation and advice for nutritional follow-up. We recognize the need for uniform, evidence-based nutritional guidelines for bariatric patients and summarize recommendations with the aim of optimizing long-term success and preventing complications.

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“…LSG, however, only involves removal of a portion of the stomach, with its ultimate aim to decrease volume of food consumption and lower secretion of the hormone ghrelin that regulates hunger. Even though intestinal absorption remains intact after an LSG, thiamine deficiency can still occur in these patients [4]. Multiple studies have documented thiamine deficiency and WE after Roux-en-Y gastric bypass, but the literature investigating the incidence of WE after LSG has been limited to case reports [2].…”

Section: Discussionmentioning

confidence: 99%

“…Risk-factors that put LSG patients at increased risk of thiamine deficiency include nausea, vomiting, African American race, and greater preoperative body mass index (BMI) [2]. Other risk-factors have also been identified, such as noncompliance with vitamin supplementation, poor diet, decreased food intake, and prolonged parenteral feeding [3,4]. Hearing loss associated with WE is rare, and has only been documented in some case reports [5].…”

Section: Introductionmentioning

confidence: 99%