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【medical-news】减肥手术可致记忆丧失等并发症(

http://www.eurekalert.org/pub_releases/2007-03/aaon-osc030607.php

Public release date: 12-Mar-2007

Obesity surgery can lead to memory loss, other problems
ST. PAUL, Minn -- Weight loss surgery, such as gastric bypass surgery, can lead to a vitamin deficiency that can cause memory loss and confusion, inability to coordinate movement, and other problems, according to a study published in the March 13, 2007, issue of Neurology? the scientific journal of the American Academy of Neurology.

The syndrome, called Wernicke encephalopathy, affects the brain and nervous system when the body doesn抰 get enough vitamin B1, or thiamine. It can also cause vision problems, such as rapid eye movements.

The study found that the syndrome occurs most often in people who have frequent vomiting after the surgery. It usually occurs within one to three months after the surgery, although one case occurred 18 months after surgery.

The study reviewed the scientific literature for all reported cases of the syndrome occurring after obesity surgery. A total of 32 cases had been reported. Many of the people also had neurological symptoms that are not typical of Wernicke encephalopathy, such as seizures, deafness, psychosis, muscle weakness, and pain or numbness in the feet or hands.

"When people who have had weight loss surgery start experiencing any of these symptoms, they need to see a doctor right away," said study author Sonal Singh, MD, of Wake Forest University School of Medicine in Winston-Salem, North Carolina. "Doctors should consider vitamin B1 deficiency and Wernicke encephalopathy when they see patients with these types of neurological complications after weight loss surgery. If treated promptly, the outlook is usually good."

For treatment, patients are given vitamin B1 through an IV or injection. Of the 32 people, 13 made a full recovery. Many people continued to have problems, such as memory problems, weakness, or difficulty coordinating movement.

Singh said more studies are needed to determine how often the syndrome occurs after weight loss surgery. He said some doctors prescribe thiamine supplementation for their patients after weight loss surgery, but recommends that national standards be set for all doctors to follow. 本人已认领该文编译,48小时后若未提交译文,请其他战友自由认领。 Public release date: 12-Mar-2007
文章发表日期:2007-3-12
Obesity surgery can lead to memory loss, other problems
减肥手术可以导致记忆丧失和其它问题
ST. PAUL, Minn -- Weight loss surgery, such as gastric bypass surgery, can lead to a vitamin deficiency that can cause memory loss and confusion, inability to coordinate movement, and other problems, according to a study published in the March 13, 2007, issue of Neurology? the scientific journal of the American Academy of Neurology.
圣保罗,明尼苏达州――减肥手术如胃分流术,可以导致维生素的缺乏以至于造成记忆丧失和意识错乱,不能协调运动,和出现其它一些问题,根据一项在2007年3月13日的«神经病学»上发表的研究来看。而它是美国神经病学学会主办的学术期刊。
The syndrome, called Wernicke encephalopathy, affects the brain and nervous system when the body doesnot get enough vitamin B1, or thiamine. It can also cause vision problems, such as rapid eye movements.
这个叫做韦尼克脑病的综合症,可以影响我们的大脑和神经系统当我们的身体不能得到足够的维生素B1,或硫胺素。它还可以导致视觉障碍如快速的眼球运动。
The study found that the syndrome occurs most often in people who have frequent vomiting after the surgery. It usually occurs within one to three months after the surgery, although one case occurred 18 months after surgery.
研究发现这种综合症通常发生于那些手术过后有经常性呕吐的人群当中。它通常在手术过后一至三个月内出现,尽管有一例是在手术后18个月出现。
The study reviewed the scientific literature for all reported cases of the syndrome occurring after obesity surgery. A total of 32 cases had been reported. Many of the people also had neurological symptoms that are not typical of Wernicke encephalopathy, such as seizures, deafness, psychosis, muscle weakness, and pain or numbness in the feet or hands.
这项研究回顾了所有的已经报导的减肥手术后出现这种综合症病例的科学文献。总共有32个病例被报导。而且许多人有典型的韦尼克脑病所不具有的神经症状,诸如癫痫,耳聋,精神不正常,肌无力,和手或脚的疼痛或麻木。
"When people who have had weight loss surgery start experiencing any of these symptoms, they need to see a doctor right away," said study author Sonal Singh, MD, of Wake Forest University School of Medicine in Winston-Salem, North Carolina. "Doctors should consider vitamin B1 deficiency and Wernicke encephalopathy when they see patients with these types of neurological complications after weight loss surgery. If treated promptly, the outlook is usually good."

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作者:admin@医学,生命科学    2011-02-11 17:17
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