Case Report
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Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu

Year 2019, Volume: 46 Issue: 1, 183 - 187, 03.03.2019
https://doi.org/10.5798/dicletip.534864

Abstract

Morbid obezite prevalansının artışı ile birlikte bariatrik
cerrahi prosedürlerinin sayısı her geçen gün artmakta ve nörolojik
komplikasyonlarla daha fazla karşılaşılmaktadır. Bu komplikasyonlar arasında en
iyi tanımlanmış olanlar Wernicke ensefalopatisi ve periferik nöropatilerdir.
Guillain Barre Sendromu bariatrik cerrahinin çok nadir bir komplikasyonu olarak
bildirilmiştir ve bildirilmiş vakalar çoğunlukla aksonal tiptedir. 18 yaşında
kadın hasta polikliniğimize kol ve bacaklarda ağrı ve güçsüzlük şikayeti ile
başvurdu. Üç ay önce bariatrik cerrahi operasyonu geçirdiği öğrenildi. Alt
ekstremitelerde proksimal kas gücü kaybı saptanan hastanın elektrofizyolojik
bulguları L3-S1 innerve kaslarda subakut dönem ön kök ön boynuz tutulumu ile
uyumlu bulundu. İntravenöz immunglobulin tedavisi sonrası hastada tama yakın
düzelme gözlendi. Bariatrik cerrahi sonrası gelişen nörolojik komplikasyonlarda
nutrisyonel eksikliklerin yanında enflamatuvar hasarın da göz önünde
bulundurulması gerektiği ve bu vakaların kalıcı nörolojik hasarın önlenmesi
açısından erken dönemde, multidisipliner bir şekilde takip ve tedavi edilmesi
gerektiği görüşündeyiz.

References

  • 1. Karmali S, Schauer P, Birch D, Sharma AM, Sherman V. Laparoscopic sleeve gastrectomy: An innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010; 53: 126–32.
  • 2. Chang CG, Helling TS, Black WE, Rymer MM. Weakness after gastric bypass. Obes Surg. 2002 Aug; 12: 592-7.
  • 3. Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014; 24: 1800–7.
  • 4. Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ. A controlled study of peripheral neuropathy after bariatric surgery. Neurology. 2004 Oct 26; 63: 1462-70.
  • 5. Juhasz-Pocsine K, Rudnicki SA, Archer RL, Harik SI. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology 2007; 68: 1843–50.
  • 6. Yasawy ZM, Hassan A. Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough. Ann Indian Acad Neurol. 2017; 20: 309-12.
  • 7. Şencan R, Utku U, Gök M. Bilateral Peroneal Neuropathy after Obesity. Surgery Turk J Neurol. 2015; 21: 110-11.
  • 8. Gudzune KA, Huizinga MM, Chang HY, et all. Screening and diagnosis of micronutrient deficiencies before and after bariatric surgery. Obes Surg. 2013; 23: 1581–9.
  • 9. Goodman JC. Neurological Complications of Bariatric Surgery. Curr Neurol Neurosci Rep. 2015 Dec; 15:7 9.
  • 10. Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014; 28: 741–9.
  • 11. Aluka KJ, Turner PL, Fullum TM. Guillain-Barré syndrome and postbariatric surgery polyneuropathies. JSLS. 2009; 13: 250-3.
  • 12. Degterev DA, Suponeva NA, Bodunova NA, et all. A rare complication of bariatric surgery: Polyradiculoneuropathy as a type of Guillain-Barré syndrome. Ter Arkh. 2016; 88: 79-83.
  • 13. Machado FC, Valério BC, Morgulis RN, Nunes KF, Mazzali-Verst S. Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery. Arq Neuropsiquiatr. 2006 Sep; 64: 609-12.
  • 14. Clark N. Neuropathy following bariatric surgery. Semin Neurol. 2010 Sep; 30: 433-5.
  • 15. van den Berg B, Fokke C, Drenthen J, et all. Paraparetic Guillain-Barré syndrome. Neurology 2014; 82: 1984.
Year 2019, Volume: 46 Issue: 1, 183 - 187, 03.03.2019
https://doi.org/10.5798/dicletip.534864

Abstract

References

  • 1. Karmali S, Schauer P, Birch D, Sharma AM, Sherman V. Laparoscopic sleeve gastrectomy: An innovative new tool in the battle against the obesity epidemic in Canada. Can J Surg. 2010; 53: 126–32.
  • 2. Chang CG, Helling TS, Black WE, Rymer MM. Weakness after gastric bypass. Obes Surg. 2002 Aug; 12: 592-7.
  • 3. Landais A. Neurological complications of bariatric surgery. Obes Surg. 2014; 24: 1800–7.
  • 4. Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ. A controlled study of peripheral neuropathy after bariatric surgery. Neurology. 2004 Oct 26; 63: 1462-70.
  • 5. Juhasz-Pocsine K, Rudnicki SA, Archer RL, Harik SI. Neurologic complications of gastric bypass surgery for morbid obesity. Neurology 2007; 68: 1843–50.
  • 6. Yasawy ZM, Hassan A. Post bariatric Surgery Acute Axonal Polyneuropathy: Doing Your Best is Not Always Enough. Ann Indian Acad Neurol. 2017; 20: 309-12.
  • 7. Şencan R, Utku U, Gök M. Bilateral Peroneal Neuropathy after Obesity. Surgery Turk J Neurol. 2015; 21: 110-11.
  • 8. Gudzune KA, Huizinga MM, Chang HY, et all. Screening and diagnosis of micronutrient deficiencies before and after bariatric surgery. Obes Surg. 2013; 23: 1581–9.
  • 9. Goodman JC. Neurological Complications of Bariatric Surgery. Curr Neurol Neurosci Rep. 2015 Dec; 15:7 9.
  • 10. Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies. Best Pract Res Clin Gastroenterol. 2014; 28: 741–9.
  • 11. Aluka KJ, Turner PL, Fullum TM. Guillain-Barré syndrome and postbariatric surgery polyneuropathies. JSLS. 2009; 13: 250-3.
  • 12. Degterev DA, Suponeva NA, Bodunova NA, et all. A rare complication of bariatric surgery: Polyradiculoneuropathy as a type of Guillain-Barré syndrome. Ter Arkh. 2016; 88: 79-83.
  • 13. Machado FC, Valério BC, Morgulis RN, Nunes KF, Mazzali-Verst S. Acute axonal polyneuropathy with predominant proximal involvement: an uncommon neurological complication of bariatric surgery. Arq Neuropsiquiatr. 2006 Sep; 64: 609-12.
  • 14. Clark N. Neuropathy following bariatric surgery. Semin Neurol. 2010 Sep; 30: 433-5.
  • 15. van den Berg B, Fokke C, Drenthen J, et all. Paraparetic Guillain-Barré syndrome. Neurology 2014; 82: 1984.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Reports
Authors

Abdulkadir Tunç 0000-0002-9747-5285

Azize Esra Gürsoy This is me 0000-0002-8103-0927

Vildan Güzel This is me 0000-0003-4954-6402

Publication Date March 3, 2019
Submission Date October 30, 2018
Published in Issue Year 2019 Volume: 46 Issue: 1

Cite

APA Tunç, A., Gürsoy, A. E., & Güzel, V. (2019). Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu. Dicle Tıp Dergisi, 46(1), 183-187. https://doi.org/10.5798/dicletip.534864
AMA Tunç A, Gürsoy AE, Güzel V. Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu. diclemedj. March 2019;46(1):183-187. doi:10.5798/dicletip.534864
Chicago Tunç, Abdulkadir, Azize Esra Gürsoy, and Vildan Güzel. “Bariatrik Cerrahi Sonrası Gelişen Ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu”. Dicle Tıp Dergisi 46, no. 1 (March 2019): 183-87. https://doi.org/10.5798/dicletip.534864.
EndNote Tunç A, Gürsoy AE, Güzel V (March 1, 2019) Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu. Dicle Tıp Dergisi 46 1 183–187.
IEEE A. Tunç, A. E. Gürsoy, and V. Güzel, “Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu”, diclemedj, vol. 46, no. 1, pp. 183–187, 2019, doi: 10.5798/dicletip.534864.
ISNAD Tunç, Abdulkadir et al. “Bariatrik Cerrahi Sonrası Gelişen Ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu”. Dicle Tıp Dergisi 46/1 (March 2019), 183-187. https://doi.org/10.5798/dicletip.534864.
JAMA Tunç A, Gürsoy AE, Güzel V. Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu. diclemedj. 2019;46:183–187.
MLA Tunç, Abdulkadir et al. “Bariatrik Cerrahi Sonrası Gelişen Ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu”. Dicle Tıp Dergisi, vol. 46, no. 1, 2019, pp. 183-7, doi:10.5798/dicletip.534864.
Vancouver Tunç A, Gürsoy AE, Güzel V. Bariatrik Cerrahi Sonrası Gelişen ve Guillain Barre Sendromu’nu Taklid Eden Poliradikülonöropati Olgusu. diclemedj. 2019;46(1):183-7.