Weakness after gastric bypass

Autor(es): Chang Craig G,Helling Thomas S,Black Whitney E,Rymer Marilyn M

Resumo: Two patients underwent gastric bypasses and had uneventful hospital courses. In the early postoperative periods, both developed severe, protracted vomiting, weakness, and hyporeflexia. After thorough laboratory and clinical evaluations by neurologists, the patients were diagnosed with Guillain-Barré syndrome, although there were many atypical features. The clinical presentations of these patients are very similar to case reports of nutritional polyneuropathy associated with gastric partitioning. This paper addresses the difficulties of differentiating these two diagnoses.

Palavras-Chave: Morbid obesity; Bariatric surgery; GuillainBarré syndrome; Gastric bypass; Nutritional polyneuropathy; Vitamin deficiency

Imprenta: Obesity Surgery, v. 12, n. 4, p. 592-597, 2002

Identificador do objeto digital: 10.1381/096089202762252415

Descritores: Guillain-Barre Syndrome - Pathogenesis ; Guillain-Barre Syndrome - Clinical examination

Data de publicação: 2002