She was unable to care for herself or for her 11-year-old daughter.Ī medical malpractice suit was filed in the above case. The patient was moved to a nursing home, where she displayed impaired short-term memory and inability to walk or stand and was mobile only by wheelchair. During the second hospital stay, she continued to decline and eventually became unresponsive for a period of time. Within one week of her discharge, she was back in the hospital suffering the same symptoms but also with the new onset of delirium, and she became obtunded. The patient was discharged home, although she continued to have vision issues, dizziness, headaches, vomiting, altered gait, and weakness.
As her 12-day stay at the hospital continued, she began developing several worrisome symptoms, many of which suggested neurological causes, including tingling, fixed gaze, hearing impairment, dizziness, weakness, difficulty walking, altered gait, and nystagmus. Two days after admission, a registered dietitian categorized her as high risk for malnutrition and recommended that she receive total parenteral nutrition (TPN), which was not started. She was made nil per os (NPO), though for nine days following admission to the hospital, she was unable to retain any kind of vitamin or nutrient. Shortly thereafter, she was admitted to the hospital where she was diagnosed with a variety of problems, including dehydration, persistent vomiting, and malnutrition. Despite the procedure, the patient continued to experience vomiting and was unable to keep down any supplemental nutrients, food, or liquid. She sought treatment from her surgeon, who discovered an anastomotic stricture and successfully performed endoscopic dilation. Case VignetteĪ 35-year-old woman presented to the hospital with complaints of vomiting and dehydration that began one month after a Roux-en-Y gastric bypass (RYGB) procedure. In the following case, which was not a TMLT case, a lawsuit was filed in Texas against the healthcare professionals caring for a patient, alleging failure to administer thiamine. Texas Medical Liability Trust (TMLT), a malpractice carrier in Texas, recently published an alert 1,2 stating that they have observed an alarming increase in the number of claims filed related to Wernicke’s encephalopathy (WE) following bariatric surgery. Trigilio-Black is Bariatric Surgery, Bon Secours Surgical Specialists, Suffolk, Virginia Integrated Health Executive Council, Member-at-Large, American Society for Metabolic and Bariatric Surgeryįunding : No funding was provided for this article.ĭisclosures : The authors reports no conflicts of interest relevant to the content of this manuscript.īariatric Times. Mary’s Hospital, Richmond, Virginia President-elect, American Society for Metabolic and Bariatric Surgery. DeMaria is Bariatric Surgeon, Bon Secours General Surgery at St. By Eric DeMaria, MD, FACS, FASMBS, and Christa Trigilio-Black, PA-Cĭr.
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