This complication has been reported for all types of gastric restriction. The condition is sufficiently uncommon that there is often delay in diagnosis as attempts are made to rule out Guillain-Barr syndrome, heavy medal poisoning and other differential diagnoses. All patients should be given multivitamins including thiamin after bariatric surgery which restricts a portion of the stomach. The earlier reports of this syndrome were in patients who had gastric bypass. Whenever a patient is vomiting and requires admission for hydration, vitamins should be added to the intravenous fluids.
Vomiting can occur from overeating or eating too fast.
The cause of the vomiting should be determined and corrected. When patients with even transient vomiting are seen, they should be reminded of the importance of taking their vitamins daily and returning for further care if the vomiting recurs. Gold IBSR Member University of Iowa College of Medicine and Department of Surgery IBSR 1.0 Features, Part II by John Raab, RN, IBSR programmer Work on the release of IBSR Version 1.0 is still continuing. Initial In-house testing indicated several areas where interface design changes needed to be made to increase program speed and enhance ease of data entry. One of these areas is in the area of data validation.