Department of Neurology, ASST Nord Milano, Ospedale Bassini, Via Gorki 50, Cinisello Balsamo, MI, Italy.
Department of Clinical Nutrition, Ospedale Niguarda, Piazza dell'Ospedale Maggiore 3, Milano, Italy.
Eur J Clin Nutr. 2020 Apr;74(4):659-662. doi: 10.1038/s41430-020-0583-x. Epub 2020 Feb 11.
We described the case of a young man with morbid obesity who underwent bariatric surgery who experiences different complications. After the discharge the patient starts to complain about nausea, dizziness, and visual impairment. After a first access to an emergency department, with a diagnosis of labyrinthopathy, the patient gets worse. He then has been hospitalized and a wernicke's encephalopathy was diagnosed. During the hospitalization other comploication of low thiamine appeared such as wet beriberi. The clinical picture was also complicated with the refeeding syndrome. Wernicke's encephalopathy, wet beriberi, and refeeding syndrome are life-threatening conditions that can be prevented and treated. Both physicians and patients must be warned about these potential risks in order to put in act a prompt treatment.
我们描述了一例病态肥胖患者在接受减重手术后经历不同并发症的病例。出院后，患者开始出现恶心、头晕和视力障碍。在首次就诊于急诊科并被诊断为迷路病变后，患者病情恶化。随后，他住院并被诊断为 Wernicke 脑病。住院期间，还出现了低硫胺素血症的其他并发症，如湿性脚气病。临床表现还伴有再喂养综合征。Wernicke 脑病、湿性脚气病和再喂养综合征是危及生命的病症，可以预防和治疗。为了及时治疗，医生和患者都必须了解这些潜在风险。
