ABSTRACT
Wernicke's encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation.
Subject(s)
Duodenal Ulcer/surgery , Pancreaticoduodenectomy , Parenteral Nutrition, Total , Peptic Ulcer Hemorrhage/surgery , Wernicke Encephalopathy/etiology , Adult , Duodenal Ulcer/complications , Humans , Male , Peptic Ulcer Hemorrhage/complications , Wernicke Encephalopathy/diagnosisABSTRACT
La encefalopatía de Wernicke (EW) es un trastorno neurológico agudo resultado del déficit de tiamina. Presentamos la aparición de dicho cuadro en un enfermo joven que es sometido a una duodenopancreatectomía cefálica ante una úlcera duodenal sangrante refractaria a tratamiento endoscópico y quirúrgico previo, precisando de una nutrición parenteral total, sin suplementos de tiamina(AU)
Wernickes encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation(AU)
Subject(s)
Humans , Male , Adult , Wernicke Encephalopathy/complications , Wernicke Encephalopathy/diagnosis , Pancreaticoduodenectomy/adverse effects , Gastrointestinal Hemorrhage/complications , Parenteral Nutrition, Total , Peptic Ulcer/complications , Endoscopy, Digestive System/methods , Syncope/complications , Epinephrine/therapeutic use , Thiamine/therapeutic use , Gastrointestinal Hemorrhage/diet therapy , Peptic Ulcer/physiopathology , Gastrointestinal Hemorrhage , Stomach Ulcer/surgery , Peptic Ulcer , Vagotomy, Truncal/methodsABSTRACT
No disponible
