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Wernicke-Korsakoff Encephalopathy Following Biliopancreatic Diversion.
MedLine Citation:
PMID:  10757916     Owner:  NLM     Status:  Publisher    
Wernicke-Korsakoff disease with sensory-motor neuropathy was diagnosed in three out of a series of 1,663 patients (0.18%), with onset 2, 3 and 5 months after biliopancreatic diversion. Precipitating factors were vomiting, minimal food intake, anorexia, rapid weight loss, and glucose-containing intravenous feeding. Recovery was partial in two and complete in one of the patients. In the early postop, prophylactic thiamine should be given to the patients with excessively limited eating capacity. Larger doses of thiamine should be instituted parenterally either in the case of suspected Wernicke-Korsakoff encephalopathy or before starting feeding for protein malnutrition.
Primavera; Brusa; Novello; Schenone; Gianetta; Marinari; Cuneo; Scopinaro
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Publication Detail:
Journal Detail:
Title:  Obesity surgery     Volume:  3     ISSN:  -     ISO Abbreviation:  Obes Surg     Publication Date:  1993 May 
Date Detail:
Created Date:  2000-04-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  175-177     Citation Subset:  -    
Department of Neurology, University of Genoa, Genoa, 16132 Italy.
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