Reversible neurologic dysfunction caused by severe vitamin deficiency after malabsorptive bariatric surgery

Postoperative complications resulting from bariatric surgery can lead to severe vitamin-deficiency states. A patient who underwent bariatric bypass surgery and later developed Wernicke's encephalopathy prompted us to present her interesting case history for discussion. Although bariatric surgery is known to be a risk factor for Wernicke's encephalopathy, this diagnosis is only rarely evoked in the postoperative course. We recommend that the occurrence of digestive, psychiatric or neurological symptoms after bariatric surgery should suggest a thiamine deficiency that must be promptly assessed. Without waiting for the results, thiamine supplementation should be initiated.

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Calcifediol is more effective than cholecalciferol in the treatment of severe vitamin D deficiency in a patient submitted to malabsorbitive bariatric surgery: a case report

Endocrine Abstracts ◽

10.1530/endoabs.49.ep274 ◽

2017 ◽

Author(s):

Alessandro Brancatella ◽

Daniele Cappellani ◽

Edda Vignali ◽

Domenico Canale ◽

Claudio Marcocci

Keyword(s):

Bariatric Surgery ◽

Vitamin D ◽

Case Report ◽

Vitamin D Deficiency ◽

Severe Vitamin

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Functional abdominal pain causing Scurvy, Pellagra, and Hypovitaminosis A

F1000Research ◽

10.12688/f1000research.3-35.v1 ◽

2014 ◽

Vol 3 ◽

pp. 35

Author(s):

Edith Y. Ho ◽

Christian Mathy

Keyword(s):

Abdominal Pain ◽

Developed Countries ◽

Vitamin Deficiency ◽

Deficiency Disease ◽

Functional Abdominal Pain ◽

Atypical Case ◽

Severe Vitamin ◽

Hypovitaminosis A

Severe vitamin deficiency disease is rarely seen in developed countries. We present an atypical case of a young man with scurvy, pellagra, and hypovitaminosis A, caused by longstanding functional abdominal pain that severely limited his ability to eat.

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PP217-MON IMPROVEMENT OF MALNUTRITION PARAMETERS AND VITAMIN DEFICIENCY WITH PANCREATIC ENZYMES AFTER MALABSORPTIVE BARIATRIC SURGERY

Clinical Nutrition ◽

10.1016/s0261-5614(13)60527-0 ◽

2013 ◽

Vol 32 ◽

pp. S202-S203

Author(s):

E. Martinez Lopez ◽

S. Pellitero Rodriguez ◽

R. Puig Piña ◽

C. Joaquin Ortiz ◽

P. Moreno Santabarbara ◽

...

Keyword(s):

Bariatric Surgery ◽

Vitamin Deficiency ◽

Pancreatic Enzymes

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Severe Vitamin A Deficiency After Biliopancreatic Diversion

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/2324709619888051 ◽

2019 ◽

Vol 7 ◽

pp. 232470961988805 ◽

Cited By ~ 2

Author(s):

Lauren M. Lemieux ◽

Vijaya Surampudi

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Vitamin A ◽

Biliopancreatic Diversion ◽

Unique Feature ◽

Vitamin A Deficiency ◽

Case Series ◽

Nutritional Deficiencies ◽

Severe Vitamin ◽

Deficiency Screening

Biliopancreatic diversion is a surgical procedure that causes weight loss via volume restriction and malabsorption. It is now rarely performed due to the risk of severe nutritional deficiencies including vitamin A. We report a case of severe vitamin A deficiency due to malabsorption from a biliopancreatic diversion procedure for weight loss. By the time the patient presented to our department, she had developed blindness refractory to parenteral vitamin A treatment. A unique feature of her case is the development of a rash with vitamin A injections. This reaction has only been reported in one case series of 3 patients in the published literature. Her case highlights the importance of vitamin deficiency screening in patients after bariatric surgery, and her skin reaction to the injections is a unique side effect that is not frequently observed.

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