Table 1: Clinical findings of the neuropathies that may happen after BS.
Complications |
Prevalence |
Study Design |
Country |
Bariatric Surgery Procedure |
Etiologies |
References |
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Peripheral Neuropathies after Bariatric Surgery |
2% [4]; 16% [5]; 54% [9]; 67% [15]. |
Cross sectional study [4]; Retrospective study [5]; Non-systematic review [9]; Non-Systematic review [15]. |
U.S.A [4,5,9]. |
Gastric bypass (GB), vertical banded gastroplasty (GP), sleeve gastrectomy [4]; GB, GP, pancreaticobiliary by-pass and jejunoileal bypass [9,13]. |
Cobalamin, Thiamine, Folate, Vitamin E and Copper deficiencies [14,15]. |
[4,5,9,14,15]. |
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Polineuropathies |
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Large Fibers |
|
|
|
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Due Vitamin B1 deficiency |
1% [3], 30% [13]. |
Non-Systematic review [3]; Retrospective study [13]. |
U. S. A [3,13]. |
Roux-en-Y gastric bypass, Restrictive Surgery and malabsorptive surgery [3]; Roux-en-Y gastric bypass [13]. |
Vomiting and excessive weight loss [13]; [17] |
[3]; [13]; [17]. |
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Due Vitamin B12 deficiency |
20% [3], 0,4% [4]; 70% [15].
|
Non-Systematic review [3]; Cross sectional study [4]; Non-Systematic review [15].
|
U.S.A [3,4] |
Roux-en-Y gastric bypass, Restrictive Surgery and malabsorptive surgery [3]; GB, GP and sleeve gastrectomy [4] |
Decrease of Intrinsic Factor and stomach acid [3] |
[3]; [4]; [15]. |
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Guillain-Barré-Syndrome |
0,4% [4] |
Cross sectional study [4]. |
U.S.A [4]. |
GB, GP and sleeve gastrectomy [4] |
Axonal degeneration [26] |
[5]; [26] |
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Small fibers |
Unknown |
Unknown |
Unknown |
Unknow |
Copper, Thiamine, Cobalamin and Riboflavin (B2) deficiencies [3]; [8]; [16]; [20]; . |
[3]; [8]; [11]; [16]; [20]; . |
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Focal neuropathies |
|||||||||||||
Meralgia paresthetica |
Unknown |
Unknown |
Unknown |
Unknow |
Position during surgery [4]. |
[4]. |
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Cubital syndrome |
5% [9] |
Retrospective study [9]. |
U.S.A [9]. |
GB, GP, pancreaticobiliary by-pass and jejunoileal bypass [9]. |
Position during surgery [9]. |
[9]. |