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Войти в исследования Nutrition (Burbank, Los Angeles County, Calif.) · 2025
Severe copper deficiency-related polyneuropathy following laparoscopic sleeve gastrectomy: A case report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Huang Yu-Hao, Chou Mei-Chuan, Tsai Jih-Jin
Аннотация
BACKGROUND: Sleeve gastrectomy (SG) has become the most commonly performed bariatric procedure due to its favorable weight-loss outcomes and lower complication risks. However, serious neurological complications can still occur. We present a case of severe copper deficiency-related polyneuropathy following SG in a 48-y-old man.
CASE PRESENTATION: A 48-y-old man underwent laparoscopic SG for morbid obesity. Three months postoperatively, he developed poor oral intake. At 7 mo, he presented with bilateral distal paresthesia and gait disturbance. Symptoms transiently improved after vitamin B supplementation but progressively worsened. At 9 mo, he was admitted with severe polyneuropathy. Laboratory testing revealed marked hypocupremia. Intravenous copper supplementation led to substantial neurological improvement, and he was eventually discharged with neurological improvement.
LITERATURE REVIEW: Four reports involving five cases of polyneuropathy due to copper deficiency after SG or Roux-en-Y gastric bypass were identified in a search of the literature. Additionally, incidence rates of neurological complications and copper deficiency following SG and Roux-en-Y gastric bypass were reviewed.
CONCLUSIONS: In this case report, we emphasize vigilance regarding the presence of copper deficiency after SG, demonstrate that timely supplementation improves outcomes, recommend laboratory evaluation when postoperative neurological symptoms occur, and highlight the need for standardized postoperative copper monitoring and dosing guidelines.
CASE PRESENTATION: A 48-y-old man underwent laparoscopic SG for morbid obesity. Three months postoperatively, he developed poor oral intake. At 7 mo, he presented with bilateral distal paresthesia and gait disturbance. Symptoms transiently improved after vitamin B supplementation but progressively worsened. At 9 mo, he was admitted with severe polyneuropathy. Laboratory testing revealed marked hypocupremia. Intravenous copper supplementation led to substantial neurological improvement, and he was eventually discharged with neurological improvement.
LITERATURE REVIEW: Four reports involving five cases of polyneuropathy due to copper deficiency after SG or Roux-en-Y gastric bypass were identified in a search of the literature. Additionally, incidence rates of neurological complications and copper deficiency following SG and Roux-en-Y gastric bypass were reviewed.
CONCLUSIONS: In this case report, we emphasize vigilance regarding the presence of copper deficiency after SG, demonstrate that timely supplementation improves outcomes, recommend laboratory evaluation when postoperative neurological symptoms occur, and highlight the need for standardized postoperative copper monitoring and dosing guidelines.