Endocrine Abstracts

Neurological complications are frequently recognised with bariatric surgery. We present a case of a young 24 year old female, who had sleeve gastrectomy performed privately in Turkey. She received nutritional supplements following surgery but compliance is uncertain. 3 months post gastrectomy, she was admitted with 2-week history of progressive ascending bilateral lower limb weakness and paraesthesia. She had lost by then 10% of her excess weight. Preceding this episode, she had admission with vomiting and abdominal pain and was found to have gallstones, which is also a known risk with rapid weight loss. Initial differentials were Guillain-Barre-syndrome or transverse myelitis. She was found to be deficient in vitamin B1, vitamin A, vitamin D and folic acid. Lumbar puncture and spinal imaging were unremarkable. Nerve conduction study and EMG revealed significant patchy sensorimotor neuropathy which consistent with nutritional deficiencies following gastrectomy. She made a good recovery with her symptoms following nutritional replacements and long period of rehabilitation. This is a case of nutritional induced polyneuropathy post bariatric surgery. This case elicits the importance of thoroughly examining and observing bariatric patients after surgery, informing of potential risks of neurological complications to individual undergoing the surgery, and the importance of nutritional supplements and its compliance post-surgery.