Delayed Guillain-Barré Syndrome after Bariatric Surgery: A Report of Three Cases

Author:

Sunbol Alana H.1ORCID,Almaghrabi Sarah1ORCID,Al Aslany Shahd J.1ORCID,Aldairi Mashael M.1ORCID,Makhdum Sara A.1ORCID,Trabulsi Nora2ORCID,Almekhlafi Mohammed A.3,Nassif Mohammed2ORCID

Affiliation:

1. Faculty of Medicine, King Abdulaziz University, P.O. Box 80200, Jeddah 21589, Saudi Arabia

2. Department of Surgery, Faculty of Medicine, King Abdulaziz University, P.O. Box 80200, Jeddah 21589, Saudi Arabia

3. Department of Neurology, Faculty of Medicine, King Abdulaziz University, P.O. Box 80200, Jeddah 21589, Saudi Arabia

Abstract

Surgeries carry a risk of complications. Polyneuropathies, including Guillain-Barré syndrome (GBS), are potential complications of bariatric surgery. The incidence of these conditions is expected to increase as these surgeries become increasingly popular. We present a case report of three patients who developed a polyneuropathy after bariatric surgery. GBS was diagnosed in each patient, with nutritional deficiencies being suspected as a contributing factor. All patients began a 5-day intravenous immunoglobulin course in addition to receiving rehabilitative support, multivitamins, intravenous thiamine, vitamin D (therapeutic dose), and selenium. The patients’ symptoms improved but did not completely resolve. GBS can be a complication of bariatric surgery. Although a clear cause-effect relationship cannot be established for the present cases, the cumulative literature on the subject suggests that it is important to include it as a potential risk when counseling patients for such surgeries.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,Water Science and Technology,Geography, Planning and Development

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1. Acute polyneuropathies after bariatric surgery: does immunity play a role? Case series and literature review;International Journal of Neuroscience;2023-10-03

2. An Atypical Pediatric Presentation of a Chronic Polyradiculoneuropathy;Cureus;2023-08-30

3. Polyneuropathy as a neurological complication after sleeve gastrectomy;Endocrinología, Diabetes y Nutrición (English ed.);2022-10

4. Guillain–Barré syndrome variants: a grave complication of bariatric surgery;The Egyptian Journal of Neurology, Psychiatry and Neurosurgery;2022-09-30

5. Bariyatrik Cerrahi Sonrası Gelişen Nörolojik Sistem Tutulumu: Olgu Sunumu;Turkish Journal of Diabetes and Obesity;2022-04-30

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