Wernicke's encephalopathy, refeeding syndrome and wet beriberi after laparoscopic sleeve gastrectomy: the importance of thiamine evaluation.,European Journal of Clinical Nutrition

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Wernicke's encephalopathy, refeeding syndrome and wet beriberi after laparoscopic sleeve gastrectomy: the importance of thiamine evaluation.
European Journal of Clinical Nutrition ( IF 3.6 ) Pub Date : 2020-02-11 , DOI: 10.1038/s41430-020-0583-x
Federico Pacei ₁ , Laura Iaccarino ₂ , Enrico Bugiardini _{3,

4} , Viola Dadone ₅ , Luisa De Toni Franceschini ₁ , Chiara Colombo ₆

Affiliation

We described the case of a young man with morbid obesity who underwent bariatric surgery who experiences different complications. After the discharge the patient starts to complain about nausea, dizziness, and visual impairment. After a first access to an emergency department, with a diagnosis of labyrinthopathy, the patient gets worse. He then has been hospitalized and a wernicke's encephalopathy was diagnosed. During the hospitalization other comploication of low thiamine appeared such as wet beriberi. The clinical picture was also complicated with the refeeding syndrome. Wernicke's encephalopathy, wet beriberi, and refeeding syndrome are life-threatening conditions that can be prevented and treated. Both physicians and patients must be warned about these potential risks in order to put in act a prompt treatment.

中文翻译：

腹腔镜袖胃切除术后韦尼克的脑病，进食综合征和湿脚气：硫胺素评估的重要性。

我们描述了一个患有病态肥胖的年轻人的案例，该年轻人接受了减肥手术，并经历了不同的并发症。出院后，患者开始抱怨恶心，头晕和视力障碍。初次进入急诊室，诊断为迷路病后，病情恶化。然后，他已住院，并诊断出韦尼克氏脑病。住院期间出现了其他低硫胺素的情况，例如湿脚气。临床症状也与进食综合症并发。韦尼克的脑病，湿脚气病和再进食综合征是威胁生命的疾病，可以预防和治疗。为了及时采取治疗措施，必须警告医生和患者这些潜在风险。

更新日期：2020-02-11

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