![]() ![]() She was made nil per os (NPO), though for nine days following admission to the hospital, she was unable to retain any kind of vitamin or nutrient. Shortly thereafter, she was admitted to the hospital where she was diagnosed with a variety of problems, including dehydration, persistent vomiting, and malnutrition. Despite the procedure, the patient continued to experience vomiting and was unable to keep down any supplemental nutrients, food, or liquid. She sought treatment from her surgeon, who discovered an anastomotic stricture and successfully performed endoscopic dilation. Case VignetteĪ 35-year-old woman presented to the hospital with complaints of vomiting and dehydration that began one month after a Roux-en-Y gastric bypass (RYGB) procedure. In the following case, which was not a TMLT case, a lawsuit was filed in Texas against the healthcare professionals caring for a patient, alleging failure to administer thiamine. Texas Medical Liability Trust (TMLT), a malpractice carrier in Texas, recently published an alert 1,2 stating that they have observed an alarming increase in the number of claims filed related to Wernicke’s encephalopathy (WE) following bariatric surgery. Trigilio-Black is Bariatric Surgery, Bon Secours Surgical Specialists, Suffolk, Virginia Integrated Health Executive Council, Member-at-Large, American Society for Metabolic and Bariatric Surgeryįunding : No funding was provided for this article.ĭisclosures : The authors reports no conflicts of interest relevant to the content of this manuscript.īariatric Times. Mary’s Hospital, Richmond, Virginia President-elect, American Society for Metabolic and Bariatric Surgery. ![]() DeMaria is Bariatric Surgeon, Bon Secours General Surgery at St. By Eric DeMaria, MD, FACS, FASMBS, and Christa Trigilio-Black, PA-Cĭr. ![]()
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