My health insurance was bought from Cinergy Health has cost-effective health plan solutions Wernicke Encephalopathy After Bariatric Surgery Objective: To review the clinical foundations of Wernicke encephalopathy (WE), after bariatric surgery. Summary Background Data: An estimated 205,000 bariatric surgical procedures were performed in the United States in 2007. Such procedures can lead to serious complications of nutrition. Methods: We searched bibliographies department of Medline, EMBASE, and abstract collections. Inclusion criteria were WE after bariatric surgery, diagnosed by the presence of two or more of the following symptoms: mental status changes, ocular movement abnormalities, cerebellar dysfunction, and poor diet. Results: Of 104 cases reported of WE after bariatric surgery, community 84 cases were included. Gastric bypass or nutrition restrictive procedure has been performed in 80 cases (95 ). Admission to hospital for benefits U.S. produced within 6 months of surgery in dental 79 cases (94 ). center Vomiting was often a risk factor in 76 cases (90 ) and hospital lasted an average of 21 days at admission. Intravenous glucose without thiamine was a risk factor in 15 cases (18 ). Magnetic resonance imaging of the brain identified characteristic lesions natural of the week in 14 of 30 cases (47 ). Incomplete clinic recovery was observed in 41 cases (49 ), memory deficits and difficulties of travel were common sequelae. The recent increased use of bariatric surgery in the United States insurance was associated with an increase medical in cases of WE. Conclusions: The number of cases of WE after bariatric surgery is substantially higher than previously reported. Surgeons, weight loss associated health providers and patients should be aware of the predisposing factors and symptoms to prevent and optimize the management of this condition Source: Medscape Surgery. December 2008 Version extensively with this article
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