Case Report
BibTex RIS Cite
Year 2019, Volume: 5 Issue: 6, 1024 - 1027, 04.11.2019
https://doi.org/10.18621/eurj.461760

Abstract

References

  • [1] Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg 2009;19:1605-11.
  • [2] Centre for Public Health Excellence at NICE (UK), National Collaborating Centre for Primary Care (UK): Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London 2006.
  • [3] NIH Consensus Development Conference Panel: Gastrointestinal surgery for severe obesity. Ann Intern Med 1991;115:956-61.
  • [4] Lawton AW, Frisard NE. Visual loss, retinal hemorrhages, and optic disc edema resulting from thiamine deficiency following bariatric surgery complicated by prolonged vomiting. Ochsner J 2017;17:112-4.
  • [5] Goodman JC. Neurological complications of bariatric surgery. Curr Neurol Neurosci Rep 2015;15:79.
  • [6] Papamargaritis D, Aasheim ET, Sampson B, le Roux CW. An overview of complications affecting the copper, selenium and zinc levels after bariatric surgery in patients recommended to take multivitamin-mineral supplementation. J Trace Elem Med Biol 2015;31:167-72.
  • [7] Kazemi A, Frazier T, Cave M. Micronutrient related neurologic complications following bariatric surgery. Curr Gastroenterol Rep 2010;12:4:288-95.
  • [8] Punchai S, Hanipah ZN, Meister KM, Schauer PR, Brethauer SA, Aminian A. Neurologic nmnifestations of vitamin B deficiency after bariatric surgery. Obes Surg 2017;27:2079-82.
  • [9] Nobile-Orazio E, Terenghi F. IVIg in idiopathic autoimmune neuropathies: analysis in the light of the latest results. J Neurol 2005;252 Suppl 1:I7-13.
  • [10] Dias JC, Vidal CM, Freitas MRG. Inflammatory polyneuropathy after bariatric surgery: report of two cases. J Neurol Disord 2016;4:278.
  • [11] Chang CG, Adams-Huet B, Provost DA. Acute post-gastric reduction surgery (APGARS) neuropathy. Obes Surg 2004;14:182-9.
  • [12] Yasawy ZM, Hassan A. Post bariatric surgery acute axonal polyneuropathy: doing your best is not always enough. Ann Indian Acad Neurol 2017;20:309-12.
  • [13] Ishaque N, Khealani BA, Shariff AH, Wasay M. Guillain-Barré syndrome (demyelinating) six weeks after bariatric surgery: a case report and literature review. Obes Res Clin Pract 2015;9:416-9.
  • [14] Landais AF. Rare neurologic complication of bariatric surgery: acute motor axonal neuropathy (AMAN), a severe motor axonal form of the Guillain Barré syndrome. Surg Obes Relat Dis 2014 ;10:e85-7.
  • [15] Kailasam VK, DeCastro C, Macaluso C, Kleiman A. Postbariatric surgery neuropathic pain (PBSNP): case report, literature review, and treatment options. Pain Med 2015;16:374-82.

A new etiology for variant of Guillain-Barré syndrome: bariatric surgery

Year 2019, Volume: 5 Issue: 6, 1024 - 1027, 04.11.2019
https://doi.org/10.18621/eurj.461760

Abstract

Bariatric surgery is an effective treatment for
obesity. However, the number of acute or chronic neurological complications
after bariatric surgery, including Guillain-Barré syndrome, is increasingly
reported. We present here two cases which developed acute motor sensory
polyneuropathy a couple months after bariatric surgery which rapidly progressed
over the following month. Both patients used received parenteral vitamin B
complex replacement after surgery. The first case responded well to intravenous
immunoglobulin (IVIg) treatment. However, the second case required
plasmapheresis and physical rehabilitation for recovery after IVIg treatment. It
is thought that minerals, vitamins, and trace element deficiencies can develop
after bariatric surgery. These deficiencies may trigger inflammatory and
autoimmune mechanisms and cause acute polyneuropathies. In such cases, it
should be kept in mind that immune therapies may be beneficial, as well as
vitamins. 

References

  • [1] Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg 2009;19:1605-11.
  • [2] Centre for Public Health Excellence at NICE (UK), National Collaborating Centre for Primary Care (UK): Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children. London 2006.
  • [3] NIH Consensus Development Conference Panel: Gastrointestinal surgery for severe obesity. Ann Intern Med 1991;115:956-61.
  • [4] Lawton AW, Frisard NE. Visual loss, retinal hemorrhages, and optic disc edema resulting from thiamine deficiency following bariatric surgery complicated by prolonged vomiting. Ochsner J 2017;17:112-4.
  • [5] Goodman JC. Neurological complications of bariatric surgery. Curr Neurol Neurosci Rep 2015;15:79.
  • [6] Papamargaritis D, Aasheim ET, Sampson B, le Roux CW. An overview of complications affecting the copper, selenium and zinc levels after bariatric surgery in patients recommended to take multivitamin-mineral supplementation. J Trace Elem Med Biol 2015;31:167-72.
  • [7] Kazemi A, Frazier T, Cave M. Micronutrient related neurologic complications following bariatric surgery. Curr Gastroenterol Rep 2010;12:4:288-95.
  • [8] Punchai S, Hanipah ZN, Meister KM, Schauer PR, Brethauer SA, Aminian A. Neurologic nmnifestations of vitamin B deficiency after bariatric surgery. Obes Surg 2017;27:2079-82.
  • [9] Nobile-Orazio E, Terenghi F. IVIg in idiopathic autoimmune neuropathies: analysis in the light of the latest results. J Neurol 2005;252 Suppl 1:I7-13.
  • [10] Dias JC, Vidal CM, Freitas MRG. Inflammatory polyneuropathy after bariatric surgery: report of two cases. J Neurol Disord 2016;4:278.
  • [11] Chang CG, Adams-Huet B, Provost DA. Acute post-gastric reduction surgery (APGARS) neuropathy. Obes Surg 2004;14:182-9.
  • [12] Yasawy ZM, Hassan A. Post bariatric surgery acute axonal polyneuropathy: doing your best is not always enough. Ann Indian Acad Neurol 2017;20:309-12.
  • [13] Ishaque N, Khealani BA, Shariff AH, Wasay M. Guillain-Barré syndrome (demyelinating) six weeks after bariatric surgery: a case report and literature review. Obes Res Clin Pract 2015;9:416-9.
  • [14] Landais AF. Rare neurologic complication of bariatric surgery: acute motor axonal neuropathy (AMAN), a severe motor axonal form of the Guillain Barré syndrome. Surg Obes Relat Dis 2014 ;10:e85-7.
  • [15] Kailasam VK, DeCastro C, Macaluso C, Kleiman A. Postbariatric surgery neuropathic pain (PBSNP): case report, literature review, and treatment options. Pain Med 2015;16:374-82.
There are 15 citations in total.

Details

Primary Language English
Subjects Surgery, Endocrinology, Neurosciences
Journal Section Case Reports
Authors

Şevki Şahin 0000-0003-2016-9965

Miruna Florentina Ateş 0000-0001-5953-4240

Nilgün Çınar This is me 0000-0003-3868-3137

Sibel Karşıdağ This is me 0000-0002-2887-9235

Publication Date November 4, 2019
Submission Date September 20, 2018
Acceptance Date December 11, 2018
Published in Issue Year 2019 Volume: 5 Issue: 6

Cite

AMA Şahin Ş, Ateş MF, Çınar N, Karşıdağ S. A new etiology for variant of Guillain-Barré syndrome: bariatric surgery. Eur Res J. November 2019;5(6):1024-1027. doi:10.18621/eurj.461760

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png

2024