Vitamin and mineral deficiencies are common nutritional imbalances after gastrointestinal surgery,caused by postoperative dietary restrictions,absorption disorders,and impaired digestive function.Wernicke encephalopathy is an acute neurological disease mainly due to vitamin B1(thiamine)deficiency.It can cause severe neurological damage,and if untreated,has a mortality rate of up to 20％.Among treated patients,about 16％can fully recover.Wernicke's encephalopathy after gastrointestinal surgery is rare.This article reports a case of intestinal fistula complicated with Wernicke encephalopathy arter resection for right colon cancer.After a neurological assessment,vitamin Bl was administered,leading to an improvement in clinical symptoms.Gastrointestinal surgical fistulas can lead to vitamin Bl deficiency,thereby causing Wernicke encephalopathy,so vitamin Bl supplementation is essential for patients undergoing prolonged fasting after gastrointestinal surgery.
关键词
韦尼克脑病/结肠癌根治术/肠瘘/维生素B1
Key words
Wernicke encephalopathy/Radical resection for colon cancer/Intestinal fistula/Vitamin B1
维普
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