{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:58Z","timestamp":1753877218953,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report a case of a 47-year-old male who presented with altered mental status. A review of his records revealed a weight loss of 20 lbs over the past 6\u00a0years, a recent hospitalization for idiopathic polyneuropathy with failure to thrive, and prior surgeries for peptic ulcer disease and small bowel obstruction. He was alert but had retrograde amnesia and peripheral neuropathy. A diagnosis was made, and the patient improved with treatment but was unfortunately left with irreversible neurological deficits. We discuss the importance of recognizing the extraintestinal manifestations of gastrointestinal dysfunction following gastrointestinal surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjae326","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T23:25:18Z","timestamp":1716593118000},"source":"Crossref","is-referenced-by-count":0,"title":["The importance of early recognition of extraintestinal manifestations of digestive tract dysfunction following gastrointestinal surgery"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9199-2284","authenticated-orcid":false,"given":"Michelle","family":"Pang","sequence":"first","affiliation":[{"name":"John A. Burns School of Medicine, University of Hawaii at Manoa , Department of Medicine, Honolulu, HI 96813 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Kuwada","sequence":"additional","affiliation":[{"name":"John A. Burns School of Medicine, University of Hawaii at Manoa , Department of Medicine, Honolulu, HI 96813 , United States"},{"name":"The Queen\u2019s Medical Center GI Services and Liver Center , Department of Gastroenterology, Honolulu, HI 96813 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"2024052423251004500_ref1","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1177\/0148607114565245","article-title":"Thiamin in clinical practice","volume":"39","author":"Frank","year":"2015","journal-title":"J Parenter Enteral Nutr"},{"key":"2024052423251004500_ref2","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.annemergmed.2007.02.007","article-title":"Myths and misconceptions of Wernicke\u2019s encephalopathy: what every emergency physician should know","volume":"50","author":"Donnino","year":"2007","journal-title":"Ann Emerg 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literature","volume":"7","author":"Stroh","year":"2014","journal-title":"Obes Facts"},{"key":"2024052423251004500_ref10","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1136\/jnnp.71.3.357","article-title":"Postgastrectomy polyneuropathy with thiamine deficiency","volume":"71","author":"Koike","year":"2001","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2024052423251004500_ref11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.jpeds.2004.04.051","article-title":"Beriberi after gastric bypass surgery in adolescence","volume":"145","author":"Towbin","year":"2004","journal-title":"J Pediatr"},{"key":"2024052423251004500_ref12","article-title":"Beriberi disease in an 11-year-old girl with total colectomy","volume":"11","author":"Salloum","year":"2018","journal-title":"Oxf Med Case Reports"},{"key":"2024052423251004500_ref13","first-page":"271","article-title":"Thiamin, pyridoxine, vitamin D, and carotene deficiency in a malnourished patient following Billroth II gastrectomy","volume":"32","author":"Lahey","year":"2017","journal-title":"Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr"},{"key":"2024052423251004500_ref14","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.clnu.2021.10.021","article-title":"Clinical diagnosis, outcomes and treatment of thiamine deficiency in a tertiary hospital","volume":"41","author":"Mifsud","year":"2022","journal-title":"Clin Nutr"}],"container-title":["Journal of Surgical Case 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