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KMID : 0361420110350040573
Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 4 p.573 ~ p.586
Wernicke¡¯s Encephalopathy after Sleeve Gastrectomy for Morbid Obesity - A Case Report -
Jeong Hyo-Jun

Park Ji-Woong
Lee Yang-Gyun
Jang Yi-Wook
Kim Yong-Jin
Seo Jun-Won
Abstract
Morbid obesity is a curable systemic disease that can cause several complications, including hypertension, diabetes mellitus, and osteoarthritis. However, it is not easy to control solely by conservative management. Bariatric surgeries, such as sleeve gastrectomy and gastric banding, are recently developed treatments that are applied to patients with morbid obesity in Korea. However, gastric surgery can cause surgical or metabolic complications, such as thiamine deficiency, which can lead to Wernicke¡¯s encephalopathy. This metabolic complication presents with typical symptoms of confusion, ophthalmoplegia, nystagmus, and ataxia. In this case report, we present a case of Wernicke¡¯s encephalopathy, which developed slowly following sleeve gastrectomy in a patient with morbid obesity.
KEYWORD
Wernicke¡¯s encephalopathy, Sleeve gastrectomy, Morbid obesity
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