Article

Peripheral neuropathies sometimes complicate bariatric surgery.
METHODS : We report the detailed clinical, electrophysiological,
biological and histological characteristics of five patients who developed
peripheral neuropathy after bariatric surgery. RESULTS: Three 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. CONCLUSION: The 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.
CI - Copyright (c) 2011 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS