The Skinny on a Growing Problem: Dry Beriberi after Bariatric Surgery
Authors: Marc R. Matrana
Journal: Annals of Internal Medicine (2008)

Letters2 December 2008The Skinny on a Growing Problem: Dry Beriberi after Bariatric SurgeryMarc R. Matrana, MD, MS, Sreekanth Vasireddy, MD, and William E. Davis, MDMarc R. Matrana, MD, MSFrom Ochsner Clinic Foundation, New Orleans, LA 70121., Sreekanth Vasireddy, MDFrom Ochsner Clinic Foundation, New Orleans, LA 70121., and William E. Davis, MDFrom Ochsner Clinic Foundation, New Orleans, LA 70121.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-11-200812020-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Gastric bypass surgery has become a popular and effective way to treat obesity. More than 100 000 procedures are performed annually (1). Gastric bypass typically results in long-term weight loss, but the procedure has multiple inherent risks and associated complications.Objective: To describe a case of severe thiamine deficiency after gastric bypass.Case Report: A 37-year-old woman with morbid obesity underwent Roux-en-Y gastric bypass 3 months before presentation. Her operation had been uncomplicated, but she received no follow-up care. Two weeks before presentation, the patient developed mild paresthesia of the anterior right leg. Two days before presentation, her parasthesia worsened ...References1. Steinbrook R. Surgery for severe obesity. N Engl J Med. 2004;350:1075-9. [PMID: 15014179] CrossrefMedlineGoogle Scholar2. Chang CG, Adams-Huet B, Provost DA. Acute post-gastric reduction surgery (APGARS) neuropathy. Obes Surg. 2004;14:182-9. [PMID: 15018746] CrossrefMedlineGoogle Scholar3. Talwar D, Davidson H, Cooney J, St JO'Reilly D. Vitamin B(1) status assessed by direct measurement of thiamin pyrophosphate in erythrocytes or whole blood by HPLC: comparison with erythrocyte transketolase activation assay. Clin Chem. 2000;46:704-10. [PMID: 10794754] CrossrefMedlineGoogle Scholar4. Lu J, Frank EL. Rapid HPLC measurement of thiamine and its phosphate esters in whole blood. Clin Chem. 2008;54:901-6. [PMID: 18356241] CrossrefMedlineGoogle Scholar5. Kumar N. Nutritional neuropathies. Neurol Clin. 2007;25:209-55. [PMID: 17324726] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Marc R. Matrana, MD, MS; Sreekanth Vasireddy, MD; William E. Davis, MDAffiliations: From Ochsner Clinic Foundation, New Orleans, LA 70121.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySurgical and Medical Follow-UpAcute Emergencies Related to Bariatric SurgeryNutritional and Micronutrient Care of Bariatric Surgery Patients: Current Evidence UpdateReview of Nutritional Gastrointestinal Physiology Imposed by Bariatric Surgical ProceduresNutritional and Alcoholic NeuropathiesLiteraturRapidly progressive polyneuropathy due to dry beriberi in a man: a case reportVitamin Deficiency After Gastric BypassThe Bariatric Surgery Patient: A Growing Role for Registered DietitiansPrevention and Treatment of Peripheral Neuropathy after Bariatric SurgeryPeculiarities of Wernicke Encephalopathy After Bariatric Surgery 2 December 2008Volume 149, Issue 11Page: 842-844KeywordsBeriberiGlucoseKneesSurgerySystematic reviewsThiamineUrineVomitingWalkingWeight loss ePublished: 2 December 2008 Issue Published: 2 December 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...