Peripheral neuropathies after bariatric surgery. Preliminary results from a single-centre prospective study in Northern Italy.

Peripheral neuropathies after bariatric surgery. Preliminary results from a single-centre prospective study in Northern Italy.

Authors

  • Matteo Riccò Azienda USL di Reggio EmiliaV.le Amendola n.2 - 42122 REServizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL)Dip. di Prevenzione http://orcid.org/0000-0002-6525-2159
  • Chiara Rapacchi Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Andrea Romboli Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Luigi Vezzosi Department of Medicine and Surgery, Section of Hygiene and Public Health, University of Parma. Via Volturno n. 39, 43121, Parma Italy
  • Francesco Rubichi Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Gabriele Luciano Petracca Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Stefania Ferrari Department of Medicine and Surgery, School of Medicine; University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Marina Valente Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Francesco Tartamella Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy
  • Federico Marchesi Department of Medicine and Surgery, Section of General Surgery and Surgical Therapy, University of Parma. Via Gramsci n. 14, 43121 Parma, Italy

Keywords:

Peripheral Nervous System Diseases, Bariatric Surgery, Malnutrition, Obesity, Obesity, Morbid

Abstract

Introduction: Bariatric surgery (BS) has gained popularity in order to treat morbid obesity. However, post-operative (PO) neurologic complications have become increasingly recognized. Our aim was to examine incidence, clinical presentation, and outcomes of neurologic disorders secondary to BS. Methods: Patients who underwent BS between the years 2012 and 2015 at Parma University were included in this survey, and assessed before (T0) and 1 year after surgery (T1). Baseline characteristics and medical comorbidities, type of surgery, and PO complications were retrieved. Patients with a previous history of peripheral neuropathic disease were excluded from the analysis. If a patient presented with a new onset neurologic symptom including extremity numbness, paresthesia, muscle weakness, the status was considered “positive” for PO-neuropathy. Results: Overall, we retrieved data from 61 patients (n=30 Roux-en-Y Gastric bypasses, n=31 Gastric banding; 81.0% females). Of them, 7 (11.4%) developed some signs of PO-neuropathy, that eventually disappeared at T+24 months. The most common manifestations were paresthesia (n=6) and muscle weakness (n=4), similarly distributed in Gastric Bypass (n=4) and Gastric Banding (n=3) groups. Although patients affected by PO-neuropathy exhibited higher SF-36 score at T0 (p=0.018), no significant differences were found regarding BMI (T0, T1), percentual weight loss, serological data (i.e. vitamin B1, B2, B6, B12: in all cases p>0.05). Conclusion: PO-BS neuropathy is usually associated with lower levels of vitamin B1, B2, B12. However, no differences in PO-BMI, excess weight loss, and metabolic data levels were found. Larger data and more extended follow-up are required to validate our results.

Author Biography

Matteo Riccò, Azienda USL di Reggio EmiliaV.le Amendola n.2 - 42122 REServizio di Prevenzione e Sicurezza negli Ambienti di Lavoro (SPSAL)Dip. di Prevenzione

Dipartimento di Sanità Pubblica

Dirigente Medico di Medicina del Lavoro

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Published

06-09-2019

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Peripheral neuropathies after bariatric surgery. Preliminary results from a single-centre prospective study in Northern Italy. Acta Biomed [Internet]. 2019 Sep. 6 [cited 2024 Mar. 29];90(3):259-65. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/7601