• Rev Neurol France · Aug 2011

    [Peripheral neuropathies after bariatric surgery].

    • N Philippi, S Vinzio, N Collongues, M Vix, N Boehm, C Tranchant, and A Echaniz-Laguna.
    • Département de neurologie, CHU de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
    • Rev Neurol France. 2011 Aug 1; 167 (8-9): 607-14.

    IntroductionPeripheral neuropathies sometimes complicate bariatric surgery.Patients And MethodsWe report the detailed clinical, electrophysiological, biological and histological characteristics of five patients who developed peripheral neuropathy after bariatric surgery.ResultsThree patients presented with small fiber neuropathy, one presented with axonal polyneuropathy, and one with demyelinating polyradiculoneuropathy. All patients had in common prominent neuropathic pain, massive weight loss, and multiple nutritional deficiencies. The pathophysiology of postbariatric surgery polyneuropathies is complex and involves nutritional, infectious and dysimmune mechanisms.ConclusionThe spectrum of peripheral neuropathies complicating bariatric surgery is wide, and includes pure small fiber neuropathy, axonal polyneuropathy, and demyelinating polyradiculoneuropathy. Treatment is mainly preventive, but sometimes surgical revision is needed.Copyright © 2011 Elsevier Masson SAS. All rights reserved.

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