Hamdeh Mo'ath Abu, Mounshar Ali Abdelhai Mohammad Abdallah Abu, Asad Rasmea Mohammad, Shubietah Abdalhakim, Basalat Naser Mohammad Abdul Jaber, Hassouneh Jehad Saleh, Al Murr Mohammed J
Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Occupied Palestinian Territories.
Department of Internal Medicine, An-Najah National University Hospital, Nablus, Occupied Palestinian Territories.
Obes Surg. 2025 Jan;35(1):345-349. doi: 10.1007/s11695-024-07635-1. Epub 2024 Dec 16.
Obesity management through laparoscopic sleeve gastrectomy can occasionally lead to rare but severe complications, including Guillain-Barré Syndrome (GBS). This report analyzes two cases of GBS following LSG, highlighting differences in symptoms, diagnosis, and management. The first patient experienced rapid onset neurological symptoms post-surgery, confirmed as GBS through clinical and electrophysiological assessments, and responded well to intravenous immunoglobulin. The second patient showed similar symptoms but received only multivitamins and physiotherapy due to financial constraints, with a slow but progressive recovery. These cases underscore the necessity for vigilant postoperative monitoring for GBS, reflecting on potential immune dysregulation and microbiota changes as contributory factors. This awareness is crucial for improving patient outcomes and understanding the neurological impacts of bariatric surgery.
通过腹腔镜袖状胃切除术进行肥胖管理偶尔会导致罕见但严重的并发症，包括吉兰-巴雷综合征（GBS）。本报告分析了两例腹腔镜袖状胃切除术后发生GBS的病例，突出了症状、诊断和治疗方面的差异。首例患者术后迅速出现神经症状，经临床和电生理评估确诊为GBS，对静脉注射免疫球蛋白反应良好。第二例患者表现出类似症状，但由于经济限制仅接受了多种维生素治疗和物理治疗，恢复缓慢但呈渐进性。这些病例强调了对GBS进行术后密切监测的必要性，考虑到潜在的免疫失调和微生物群变化是促成因素。这种认识对于改善患者预后和理解减肥手术的神经影响至关重要。
