病态肥胖胃成形术后韦尼克-科尔萨科夫脑病和多发性神经病：一例报告
Wernicke-korsakoff encephalopathy and polyneuropathy after gastroplasty for morbid obesity: report of a case.
作者信息
Cirignotta F, Manconi M, Mondini S, Buzzi G, Ambrosetto P
机构信息
Department of Neurology, S. Orsola-Malpighi Hospital, via Albertoni 15, 40138 Bologna, Italy.
出版信息
Arch Neurol. 2000 Sep;57(9):1356-9. doi: 10.1001/archneur.57.9.1356.
BACKGROUND
Gastric partitioning is a surgical procedure for the treatment of morbid obesity that may engender neurological complications, such as Wernicke encephalopathy and polyneuropathy.
SETTING
A specialist hospital.
PATIENT
A 36-year-old woman developed Wernicke-Korsakoff encephalopathy and polyneuropathy 3 months after gastroplasty for morbid obesity. A magnetic resonance scan documented the diagnosis, and a clear improvement occurred after parenteral thiamine treatment. In our patient and in previously described cases of the literature, postsurgical vomiting is a constant finding that seems to be the precipitating factor of neurological complications of gastric partitioning.
CONCLUSION
Persistent vomiting after gastroplasty for morbid obesity should be considered an alarming symptom to treat immediately with appropriate measures.
背景
胃分隔术是一种治疗病态肥胖的外科手术，可能引发神经并发症，如韦尼克脑病和多发性神经病。
地点
一家专科医院。
患者
一名36岁女性在接受胃成形术治疗病态肥胖3个月后出现韦尼克-科萨科夫脑病和多发性神经病。磁共振扫描确诊，经肠胃外给予硫胺素治疗后明显好转。在我们的患者以及文献中先前描述的病例中，术后呕吐是一个常见现象，似乎是胃分隔术神经并发症的诱发因素。
结论
病态肥胖胃成形术后持续呕吐应被视为一种警示症状，需立即采取适当措施进行治疗。
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