Evidence map›Paper›PMID 39896946›Full record

ArticleAACE clinical case reports

Micronutrient Deficiency and Wernicke's Encephalopathy in the Setting of Over the Counter Transcutaneous Multivitamin Patch Use Following Bariatric Surgery.

Hisham Mohammed Babu, Andrew J Spiro, Thanh D Hoang, Mohamed K M Shakir

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Article in AACE clinical case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hisham Mohammed BabuDepartment of Endocrinology, Diabetes & Metabolism Walter Reed National Military Medical Center, Bethesda, Maryland.
Andrew J SpiroDepartment of Endocrinology, Diabetes & Metabolism Walter Reed National Military Medical Center, Bethesda, Maryland.
Thanh D HoangDepartment of Endocrinology, Diabetes & Metabolism Walter Reed National Military Medical Center, Bethesda, Maryland.
Mohamed K M ShakirDepartment of Endocrinology, Diabetes & Metabolism Walter Reed National Military Medical Center, Bethesda, Maryland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objective: Thiamine deficiency, which may occur following bariatric surgery, can lead to the development of Wernicke's encephalopathy (WE). This case report describes a patient developing WE postbariatric surgery, due to the use of over-the-counter transcutaneous multivitamin patch rather than recommended vitamin tablets. Case Report: A 61-year-old female presented with 45 pounds of weight gain over the past year with a body mass index of 39.58 kg/m Discussion: Obesity often predisposes individuals to multiple nutritional deficiencies. It is critical that these patients take adequate vitamin supplementation before and after bariatric surgery. Thiamine deficiency can present as WE due to inappropriate supplementation such as use of a transcutaneous patch as seen in our patient. Conclusion: Adequate nutritional counseling and supplementation before and after bariatric surgery is required to prevent complications. Transcutaneous patch as a mode of multivitamin supplementation is questionable in its current state and should be avoided.

Indexed as

bariatric surgerythiamine deficiencytranscutaneous vitamin patchWernicke encephalopathy

Identifiers

PMID39896946
PMCPMC11784606

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