ArticleObesity surgery2016
Rare Neurological Complications After Sleeve Gastrectomy.
Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Wernicke encephalopathy in non-alcoholic patients following gastrointestinal procedures: a systematic review.Frontiers in surgery · 2026Pooled it
- Neuropathic symptoms after sleeve gastrectomy: two cases illustrating diagnostic pitfalls and discordant nerve conduction findings - a case report.International journal of surgery case reports · 2026Article
- A Contemporary Perspective on Long-Term Complications of Bariatric Surgery.Obesity surgery · 2026Review
- Common Peroneal Nerve Paralysis Following Rapid Weight Loss-A Case Report and Literature Review.Nutrients · 2025Review
- Metabolic/bariatric surgery optimization: a position statement by Arabic association for the study of diabetes and metabolism (AASD).Diabetology & metabolic syndrome · 2025Review
- Atypical Wernicke's encephalopathy without mental status changes following bariatric surgery in an adolescent patient.BMJ case reports · 2024Article
- Letter to editor concerning "Luciano, A., Andrada, M., Rafael, P. F., Franco, S., Lucio, O., & Federico, M. (2022). Pregnancy After Sleeve Gastrectomy: Time Matters?. Obesity Surgery, 1-7."Obesity surgery · 2022Article
- Endoscopic Management of Sleeve Stenosis.Obesity surgery · 2021Article
- Changes in clinical depression following Sleeve Gastrectomy.Endocrinology, diabetes & metabolism · 2021Article
- Cervical Myelopathy and Peripheral Polyneuropathy in a 26-Year-Old Female Following Bariatric Surgery.Cureus · 2021Article
- British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery-2020 update.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Review
- The Relevance of Thiamine Evaluation in a Practical Setting.Nutrients · 2020Article
- A Case of Wernicke's Encephalopathy in a Pregnant Woman With a History of Sleeve Gastrectomy.Cureus · 2020Article
- Wernicke's encephalopathy, refeeding syndrome and wet beriberi after laparoscopic sleeve gastrectomy: the importance of thiamine evaluation.European journal of clinical nutrition · 2020Article
- Peripheral neuropathies after bariatric surgery. Preliminary results from a single-centre prospective study in Northern Italy.Acta bio-medica : Atenei Parmensis · 2019Article
- Preventing Wernicke Encephalopathy After Bariatric Surgery.Obesity surgery · 2018Review
- An overview of complications affecting the Central Nervous System following bariatric surgery.Neurosciences (Riyadh, Saudi Arabia) · 2018Review
- Wernicke Encephalopathy: An Updated Narrative Review.Saudi journal of medicine & medical sciencesReview
- Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough.Annals of Indian Academy of NeurologyArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric surgery is considered to be the most effective treatment of morbid obesity and improvement of obesity-related comorbidities, such as type II diabetes. However, both peripheral and central neurological complications can occur after bariatric surgery. Such complications tend to occur more frequently after bypass surgery than after sleeve gastrectomy (SG). The objective of this study was to identify the patients that presented post-operative neurological complications after undergoing SG and describe the incidence, presentation, and management of these complications.
methodsThis was a retrospective study of 592 cases of SG performed between 2009 and 2014 with a special focus on patients who presented neurological complications.
resultsOf the 592 SG cases, only seven (1.18 %) patients presented neurological complications. All patients had uneventful post-operative course, but all reported feeding difficulties, accompanied by severe dysphagia, and rapid weight loss, with a mean weight loss of 35 kg (30-40 kg) 3 months after SG. All patients were readmitted owing to neurological symptoms that included paresthesia, abolition of deep tendon reflexes of the lower limbs, muscle pain, and motor and sensitive deficits in some cases. There were two cases of Wernicke's encephalopathy. All patients were treated for neuropathy secondary to vitamin B1 deficiency and had a significant improvement and/or resolution of their symptoms.
conclusionsNeurological complications after SG are rare and are often preceded by gastrointestinal symptoms, rapid weight loss, and lack of post-operative vitamin supplementation. Re-hospitalization and multidisciplinary team management are crucial to establish the diagnosis and initiate treatment.
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