Kröll Dino, Laimer Markus, Borbély Yves Michael, Laederach Kurt, Candinas Daniel, Nett Philipp Christoph
Obes Surg. 2016 Jan;26(1):205-12. doi: 10.1007/s11695-015-1927-9.
Wernicke encephalopathy (WE) is a serious complication of bariatric surgery with significant morbidity and mortality. A few cases have been reported in the literature, mainly in patients after a Roux-en-Y gastric bypass. Since sleeve gastrectomy (SG) has become a more established and popular bariatric procedure, WE is expected to appear more frequently after SG. We performed a literature review on WE after SG, and 13 cases have been found to be sufficiently documented. The risk of WE needs to be considered in patients with a prolonged vomiting episode and any type of neurological symptoms, independent of the presence of any surgical complications.
韦尼克脑病（WE）是减重手术的一种严重并发症，具有较高的发病率和死亡率。文献中已报道了少数病例，主要发生在接受 Roux-en-Y 胃旁路手术的患者中。由于袖状胃切除术（SG）已成为一种更成熟且流行的减重手术，预计 SG 术后 WE 的出现会更为频繁。我们对 SG 术后的 WE 进行了文献综述，发现有 13 例病例记录充分。对于有长时间呕吐发作且伴有任何类型神经症状的患者，无论是否存在手术并发症，都需要考虑发生 WE 的风险。
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