{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:42:32Z","timestamp":1755225752685,"version":"3.43.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present a 46-year-old male who developed chronic Guillain-Barr\u00e9 syndrome and refractory diarrhea after undergoing Roux-en-Y gastric bypass, with progressive neurological deterioration and 34.9% total weight loss over 9\u00a0years. Serial evaluations demonstrated severe deficiencies include vitamin D, calcium, iron and other nutritions, accompanied by evidence of autoimmune dysregulation. The patient\u2019s condition progressed to require partial parenteral nutrition due to worsening neurological and gastrointestinal dysfunction. This case highlights the critical need for ongoing nutritional monitoring after bariatric surgery and suggests that persistent micronutrient deficiencies may contribute to sustained immune dysfunction, potentially triggering chronic autoimmune neurological disorders in susceptible individuals.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf596","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T11:33:03Z","timestamp":1753183983000},"source":"Crossref","is-referenced-by-count":0,"title":["Chronic Guillain-Barr\u00e9 syndrome and refractory diarrhea after RYGB: a 9-year longitudinal case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Liu","family":"Yanzhang","sequence":"first","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery, Xiaolan People\u2019s Hospital of Zhongshan , No. 65, Jucheng Avenue, Xiaolan Town, Zhongshan, Guangdong 528415 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhao","family":"Xiangwen","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery, Xiaolan People\u2019s Hospital of Zhongshan , No. 65, Jucheng Avenue, Xiaolan Town, Zhongshan, Guangdong 528415 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wang","family":"Hui","sequence":"additional","affiliation":[{"name":"Department of Neurology, Xiaolan People\u2019s Hospital of Zhongshan , No. 65, Jucheng Avenue, Xiaolan Town, Zhongshan, Guangdong 528415 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji","family":"Jinfeng","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietary Guidance, Xiaolan People\u2019s Hospital of Zhongshan , No. 65, Jucheng Avenue, Xiaolan Town, Zhongshan, Guangdong 528415 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi","family":"Shengli","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiaolan People\u2019s Hospital of Zhongshan , No. 65, Jucheng Avenue, Xiaolan Town, Zhongshan, Guangdong 528415 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"2025081313050593700_ref1","doi-asserted-by":"publisher","first-page":"3556","DOI":"10.1111\/ene.14959","article-title":"European academy of neurology\/peripheral nerve society guideline on diagnosis and treatment of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force-second revision","volume":"28","author":"Van den Bergh","year":"2021","journal-title":"Eur J 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