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• W3179747406 abstract "we read with great interest the review from Oudman et al. [ [1] Oudman E. Wijnia J.W. Oey M.J. van Dam M. Postma A. Wernicke-Korsakoff syndrome despite no alcohol abuse: a summary of systematic reports. J. Neurol. Sci. 2021 May 7; 426: 117482 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar ] reporting about Wernicke-Korsakoff syndrome (WKS) in patients with no alcohol abuse. Authors relevantly concluded that nutritional impoverishment leads to profound brain damage and that physicians sometimes underestimate the risks for nonalcoholic WKS. By this point of view, we found it is fundamental to draw attention on bariatric surgery and, particularly, on the opportunity to evaluate thiamine deficiencies after all restrictive procedures. As reported by the more updated guidelines for the perioperative nutrition of patients undergoing bariatric procedures [ [2] Mechanick J.I. Apovian C. Brethauer S. Garvey W.T. Joffe A.M. Kim J. Kushner R.F. Lindquist R. Pessah-Pollack R. Seger J. Urman R.D. Adams S. Cleek J.B. Correa R. Figaro M.K. Flanders K. Grams J. Hurley D.L. Kothari S. Seger M.V. Still C.D. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists - Executive Summary. Endocr. Pract. 2019 Dec; 25: 1346-1359 PubMed Google Scholar ], adherence to vitamin therapy after bariatric surgery is lower than selfreports and represents a potential risk to patients' health: thiamine deficiency occurs in 15.5 to 29% of patients with obesity and 16 to 47% in patients awaiting bariatric surgery so an early onset WKS 2 weeks after bariatric surgery, instead of the more usual 3 months, should be evaluated and its potential prevention with diligent pre-operative thiamine replacement protocols is essential. Similarly, the French NEUROBAR Study [ [3] Alligier M. Borel A.L. Savey V. Rives-Lange C. Brindisi M.C. Piguel X. Nocca D. Monsaingeon-Henry M. Montastier E. Beliard S. Bossu Estour C. Verkindt H. Coupaye M. Lemoine A. Pierre A. Laville M. Disse E. Bétry C. A series of severe neurologic complications after bariatric surgery in France: the NEUROBAR Study. Surg. Obes. Relat. Dis. 2020 Oct; 16: 1429-1435 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ], which summarize the experience of 13 high volume bariatric centres, found that Vitamin B deficiencies were frequent both after gastric bypass and sleeve gastrectomy; moreover, in 20/38 patients with neurological complications following bariatric surgery, artificial nutrition was required and the neurologic symptoms were completely resolved in only 9 cases." @default.
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• W3179747406 date "2021-08-01" @default.
• W3179747406 modified "2023-10-16" @default.
• W3179747406 title "Comment on “Wernicke-Korsakoff syndrome despite no alcohol abuse: A summary of systematic reports” – A matter of bariatric patients' management" @default.
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• W3179747406 doi "https://doi.org/10.1016/j.jns.2021.117569" @default.
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