Thiamine deficiency in Roux-en-Y?

[Guest guest]

Good morning everyone.

I wanted to pick your brains on this subject. I am at the University of PA Medical Center and our program performs approximately 500 bariatric surgeries per year. Last week, 2 patients were admitted with neuropathy. After the work-up it was determined they had a thiamine deficiency. As far as I know the patients have no liver problems and are not alcoholics. They are both at least 4 months out. They had no major problems with vomiting or diarrhea.

They are currently receiving vitamin/mineral supplementation via IV in the hospital and will be sent home for 2 weeks with the IV. After that, I recommended they should be supplemented with 10-20mg of thiamine per day.

Has anyone had this experience? With all the cases we've done, I had never seen this before.

Whatever feedback you can provide, would be extremely helpful.

Thanks in advance,

Griehs, MS, RD, LDN

Bariatric Clinical Specialist

Bariatric Surgery Program

University of Pennsylvania Medical Center

Phone: 215-614-0993

Fax: 215-662-3148

E-mail: rachel.griehs@...

[Guest guest]

W have had one case of beri beri due to Thiamine deficiency. She was not

compliant with vitamin supplementation and developed it within 3 months

after the roux-en-y surgery. This person didn't have alcohol or liver

problems, either. Unfortunately, we didn't have her baseline Thiamine

levels. We have added pre-op Thiamine level.

Naomi Wedel, M.S., R.D., C.D.E., C.D., BC-ADM

naomi.wedel@...

Dean West Clinic, 752 N. High Point Rd., Madison, WI 53717

Phone: (608) 824-4207

Fax: (608) 824-4349

" Griehs, "

<rachel.griehsuphs (DOT)

" ' ' "

upenn.edu>

< >

cc:

03/23/2004 10:16 AM Subject:

Thiamine deficiency in

Please respond to Roux-en-Y?

BariatricNutritionDi

etitians

Good morning everyone.

I wanted to pick your brains on this subject. I am at the University of PA

Medical Center and our program performs approximately 500 bariatric

surgeries per year. Last week, 2 patients were admitted with neuropathy.

After the work-up it was determined they had a thiamine deficiency. As far

as I know the patients have no liver problems and are not alcoholics. They

are both at least 4 months out. They had no major problems with vomiting or

diarrhea.

They are currently receiving vitamin/mineral supplementation via IV in the

hospital and will be sent home for 2 weeks with the IV. After that, I

recommended they should be supplemented with 10-20mg of thiamine per day.

Has anyone had this experience? With all the cases we've done, I had never

seen this before.

Whatever feedback you can provide, would be extremely helpful.

Thanks in advance,

Griehs, MS, RD, LDN

Bariatric Clinical Specialist

Bariatric Surgery Program

University of Pennsylvania Medical Center

Phone: 215-614-0993

Fax: 215-662-3148

E-mail: rachel.griehs@...

[Guest guest]

Curious if they were taking a MVI for the past 4 months and if they were if it was tablet or chewable or liquid?

Sandi Birch, RD LDEIRMC, Idaho Fallsneilandsandi@...

Thiamine deficiency in Roux-en-Y?

Good morning everyone.

I wanted to pick your brains on this subject. I am at the University of PA Medical Center and our program performs approximately 500 bariatric surgeries per year. Last week, 2 patients were admitted with neuropathy. After the work-up it was determined they had a thiamine deficiency. As far as I know the patients have no liver problems and are not alcoholics. They are both at least 4 months out. They had no major problems with vomiting or diarrhea.

They are currently receiving vitamin/mineral supplementation via IV in the hospital and will be sent home for 2 weeks with the IV. After that, I recommended they should be supplemented with 10-20mg of thiamine per day.

Has anyone had this experience? With all the cases we've done, I had never seen this before.

Whatever feedback you can provide, would be extremely helpful.

Thanks in advance,

Griehs, MS, RD, LDN Bariatric Clinical Specialist Bariatric Surgery Program University of Pennsylvania Medical Center Phone: 215-614-0993 Fax: 215-662-3148 E-mail: rachel.griehs@...

[Guest guest]

Does anyone have any information on homemade feeding formulas for patients that do not want to use processed can items. To be used with J-peg.

I have a patient looking for this.

Thanks in advance.

t Rodman RD, LD, CFTRegistered Dietitian, Fitness Trainer, and Speakerfor Sport, Health & Balanced LivingBeyondfit123@...