Neuropathy Following Bariatric Surgery

Clark, Nicole C.

doi:10.1055/s-0030-1267287

Cited by 12 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sensory neuropathy subtype occurred less frequently (1%) in intensive nutritional management with frequent follow‐up postoperatively as compared to irregular follow‐up with after care [15]. Patients usually present with painful paresthesia in lower extremities more frequently than the upper extremities (glove‐stocking distribution) [25]; however, similar symptoms have also been reported in the head and trunk [15].…”

Section: Resultsmentioning

confidence: 99%

“…We identified two high‐quality retrospective controlled cohort studies [15,16], one prospective case series [17], four retrospective case series [18–21], five high‐quality review articles [22–26], and four studies that analyzed the pharmacokinetics of neuropathic analgesics in the PBS scenario [27–30]. No randomized controlled trials, controlled trials on identification of incidence, precise pathology, and management of pain or evidence‐based protocols for therapeutic management were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Patients in the same study with diabetes mellitus were more prone to mononeuropathy. Median mononeuropathy at the wrist or carpal tunnel syndrome has been reported in up to 7% of all gastric bypass patients followed by peroneal, ulnar, and radial isolated neuropathies [25]. Other painful conditions described in the literature are peroneal mononeuropathy and greater occipital and sciatic neuropathy [15].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Postbariatric Surgery Neuropathic Pain (PBSNP): Case Report, Literature Review, and Treatment Options

Kailasam¹,

Decastro²,

Macaluso³

et al. 2015

Pain Med

View full text Add to dashboard Cite

Objective This study is aimed at facilitating clinician understanding of factors associated with postbariatric surgery neuropathic pain (PBSNP) and discussing the evidence base for management options. Design A case report and systematic literature review. Methods A search was conducted of PubMed, MEDLINE, Google Scholar, EMBASE, Psych Info, and Cochrane Database of Reviews for articles published between 1985 and 2013 on neuropathy, pain, and pharmacokinetics associated with postbariatric surgery. Results The epidemiology of PBSNP has not been well established, and current therapeutic options are not evidence based. Available data indicate up to 33% incidence of pain in patients with neuropathy after bariatric surgery, resulting in significant decreases in quality of life and increases in health care costs. Pathophysiologic mechanisms underlying PBSNP are unclear, and the natural course is variable, with some patients experiencing spontaneous improvement when nutritional deficiency is identified and corrected. Early identification of nutritional deficiency along with glycemic and lipid control may prevent or partially reverse postsurgical neuropathy and modulate PBSNP. Conclusions A better understanding of the peripheral and central mechanisms resulting in PBSNP is likely to promote the development of targeted and effective treatments.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Postbariatric Surgery Neuropathic Pain (PBSNP): Case Report, Literature Review, and Treatment Options

Kailasam¹,

Decastro²,

Macaluso³

et al. 2015

Pain Med

View full text Add to dashboard Cite

show abstract

“… 6 Dr. Clark led a discussion about the complications, pathogenesis, prevention, and treatment of neuropathy in bariatric surgery patients. 7 Essentially, the etiology of neuropathy in these patients is not fully understood, although the 2 leading mechanisms are thought to be deficiency of micronutrients and vitamins versus inflammatory changes leading to axonal damage.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Sciatic Neuropathy after an Autologous Breast Reconstruction in a Massive Weight Loss Patient

Abdelnaby

Ablavsky

Shteynberg

2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary:Perioperative compression neuropathy is a known potential complication of prolonged surgical procedures. Sciatic postoperative neuropathy has rarely been reported. We present a 34-year-old woman who underwent right breast reconstruction with supercharged (venous anastomosis) transverse rectus abdominis flap and developed bilateral sciatic compression neuropathy. Her history was remarkable for sleeve gastrectomy 2 years earlier resulting in 105 pound weight loss 1 year before breast reconstruction. During the procedure, the patient was in the supine position for 8 hours and in the semirecumbent position for an additional 2 hours with the torso flexed at 30 degrees and knees flexed at approximately 45 degrees in addition to standard padding. Postoperatively, the patient was found to have loss of sensation and motor paralysis distal to her knees bilaterally. Pain sensation was preserved distally and no other neurological abnormalities were noted. Laboratory tests, magnetic resonance imaging, electromyography, and nerve conduction studies all revealed no evidence of neurological lesions and peroneal or lumbosacral radiculopathy. Motor strength gradually returned to her lower extremities over 4–5 weeks, whereas sensory function continued to improve over 7 weeks. The patient had complete neurological recovery 2 months postoperatively.

show abstract

“…Neurologic complications following bariatric surgery can involve any level of the neuraxis. Particularly important for functioning of the nervous system are the B-group vitamins (vitamin B12, thiamine, niacin, pyridoxine, folate), vitamin E, copper, and vitamin D. Commonly recognized neurologic complications related to bariatric surgery include encephalopathy, optic neuropathy, myelopathy or myeloneuropathy, radiculoplexus neuropathy, polyneuropathy, and mononeuropathy [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Parkinsonism as a Complication of Bariatric Surgery

Kamel

Hashel

Kilany

et al. 2015

Open Access Maced J Med Sci

View full text Add to dashboard Cite

BACKGROUND:The association between Parkinsonism and BS has already been reported in only three patients worldwide.CASE SUMMARY:We report a 39-years old Kuwaiti female who presented with parkinsonian features and mononeuropathy (carpal tunnel syndrome) 3 years after a vertical sleeve gastrectomy operation.CONCLUSION:We conclude that with the increasing popularity of bariatric surgery, clinicians will need to recognize and manage neurologic complications that may appear soon after or years to decades later. Thorough evaluation is essential for any patient who has undergone bariatric surgery and develops neurologic symptoms.

show abstract

Neuropathy Following Bariatric Surgery

Abstract: Bariatric surgery is an increasingly common procedure for weight control and is associated with neurologic complications, including disorders of the peripheral nerve. The clinical features of these disorders, steps to take to prevent them, and their prognosis are discussed in this article.

Cited by 12 publications

References 8 publications

Postbariatric Surgery Neuropathic Pain (PBSNP): Case Report, Literature Review, and Treatment Options

Postbariatric Surgery Neuropathic Pain (PBSNP): Case Report, Literature Review, and Treatment Options

Bilateral Sciatic Neuropathy after an Autologous Breast Reconstruction in a Massive Weight Loss Patient

Parkinsonism as a Complication of Bariatric Surgery

Contact Info

Product

Resources

About