Angstadt John D, Bodziner Richard A
Memorial Health Bariatrics, Savannah, GA 31404, USA.
Obes Surg. 2005 Jun-Jul;15(6):890-2. doi: 10.1381/0960892054222759.
The neurologic form of beriberi has been described in multiple case reports following bariatric surgery for morbid obesity. Thiamine deficiency occurs due to marked emesis and/or altered absorption secondary to the reconfiguration of the gastrointestinal tract to achieve the malabsorption needed to achieve weight loss. This case report illustrates the typical presentation of a patient after gastric bypass, and highlights the symptoms that bariatric surgeons must detect and reviews the treatment.
在针对病态肥胖的减肥手术后的多例病例报告中，已对神经型脚气病进行了描述。由于显著呕吐和/或胃肠道重新构建继发的吸收改变导致硫胺素缺乏，胃肠道重新构建是为了实现减肥所需的吸收不良。本病例报告阐述了胃旁路术后患者的典型表现，强调了减肥外科医生必须察觉的症状，并对治疗进行了回顾。
