{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:26:41Z","timestamp":1790371601385,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background<\/jats:italic>: We report a case of a patient who was 3 months post\u2013sleeve gastrectomy and presented with acute stroke symptoms ultimately due to Wernicke\u2019s encephalopathy (WE) after bariatric surgery. A 20\u2010year\u2010old white female presented to an outside hospital 3 months after sleeve gastrectomy complaining of nausea and vomiting. She initially underwent a cholecystectomy and later became less responsive and required intubation. Magnetic resonance imaging changes, presumed to be an acute stroke, prompted her transfer to our facility. Intravenous (IV) thiamin was administered, and the patient\u2019s symptoms improved over the course of her hospital stay. <jats:italic>Results<\/jats:italic>: Thiamin levels were markedly low, and the patient rapidly improved with the administration of IV thiamin. The patient was discharged to inpatient rehabilitation. <jats:italic>Conclusion<\/jats:italic>: Bariatric surgery is a less common cause of WE but can lead to acute WE due to malabsorption of thiamin. In patients undergoing bariatric surgery, clinicians should be vigilant about the potential for WE to occur. In addition, based on history, WE should be considered in the differential diagnosis for symptoms of acute ischemic stroke.<\/jats:p>","DOI":"10.1177\/0884533617722758","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T22:49:59Z","timestamp":1664232599000},"page":"510-514","source":"Crossref","is-referenced-by-count":11,"title":["Case Report of Wernicke\u2019s Encephalopathy After Sleeve Gastrectomy"],"prefix":"10.1002","volume":"33","author":[{"given":"Leslie A.","family":"Hamilton","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy College of Pharmacy University of Tennessee Health Science Center  Knoxville Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah H.","family":"Darby","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy College of Pharmacy University of Tennessee Health Science Center  Knoxville Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan J.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management  UT Southwestern, Dallas Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew H.","family":"Wilkerson","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Graduate School of Medicine University of Tennessee Medical Center  Knoxville Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabel A.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Graduate School of Medicine University of Tennessee Medical Center  Knoxville Tennessee, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2011.11.030"},{"key":"e_1_2_6_3_1","first-page":"495","volume-title":"Fundamentals of Biochemistry: Life at the Molecular Level","author":"Voet D","year":"2012"},{"key":"e_1_2_6_4_1","first-page":"134","article-title":"The role of thiamine deficiency in alcoholic brain disease","volume":"27","author":"Martin PR","year":"2003","journal-title":"Alcohol Res Health"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.732"},{"key":"e_1_2_6_6_1","unstructured":"National Institute of Diabetes and Digestive and Kidney Diseases.Longitudinal assessment of bariatric surgery.http:\/\/www.niddk.nih.gov\/health\u2010information\/health\u2010topics\/weight\u2010control\/Bariatric\u2010Surgery. Published January2010. Accessed December 17 2015."},{"key":"e_1_2_6_7_1","unstructured":"American Society for Metabolic and Bariatric Surgery.New procedure estimates for bariatric surgery: what the numbers reveal.http:\/\/connect.asmbs.org\/may\u20102014\u2010bariatric\u2010surgery\u2010growth.html. Published May2014. Accessed December 17 2015."},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4535-9"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2014.01.028"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2014.07.010"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0116-0"},{"key":"e_1_2_6_12_1","article-title":"Wernicke encephalopathy: a future problem even after sleeve gastrectomy? A systematic literature review [published online October 17, 2015]","author":"Kr\u00f6ll D","journal-title":"Obes Surg"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2011.35.4.583"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.3368\/aoj.65.1.104"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-007-9114-2"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2013.11.016"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.revmed.2014.01.010"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.3959"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2007.03.007"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2292"},{"issue":"7","key":"e_1_2_6_21_1","first-page":"CD004033","article-title":"Thiamine for prevention and treatment of Wernicke\u2010Korsakoff syndrome in people who abuse alcohol","author":"Day E","year":"2013","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533617722758","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0884533617722758","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533617722758","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:38:20Z","timestamp":1760967500000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533617722758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,14]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0884533617722758"],"URL":"https:\/\/doi.org\/10.1177\/0884533617722758","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,14]]}}}