Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Background: A higher Helicobacter pylori (H. pylori) prevalence was associated with increased rates of post-operative complications including increased marginal ulceration and leak rates. Limited studies described prevalence of H. pylori in patients undergoing bariatric surgery and H. pylori associated upper and lower gastrointestinal bleeding (GIB). Primary Aim of our study was to evaluate the prevalence [...]

Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two weeks ago, the patient experienced the onset of blurred vision, clumsiness, ambulatory dysfunction, and generalized weakness. At that time, she [...]

Case Presentation: A 31-year-old female with history of generalized anxiety disorder (GAD), morbid obesity, and eight weeks status-post sleeve gastrectomy presented with 50-pound weight loss and mental status changes. Other symptoms included nausea, vomiting, and poor oral intake. Days to weeks prior to admission she developed generalized weakness, gait disturbance, diplopia, vertigo, and slowed mentation [...]

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Case Presentation: 34 yo female nonsmoker with PCOS and hirsutism on spironolactone admitted for sleeve gastrectomy for obesity.   Pre-op bp 117/50. BP began to increase intraoperatively and postoperatively into the evening with a maximum bp of 181/104.  She experienced intractable post-op emesis. After the surgery, she noted chest pain, shaking and numbness in her hands which resolved by the morning. On [...]

Case Presentation: Thiamine deficiency is a known complication of bariatric surgery presenting commonly as Wernicke encephalopathy or dry beriberi. Pure sensory ascending neuropathy as a presenting complaint, however, is rare, which we describe here in the acute setting after intragastric balloon (IGB) placement. A 48 year old obese but otherwise healthy female underwent an uncomplicated [...]