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Neurologic Complications of Gastric Bypass Surgery for Morbid Obesity Neurol 68:1843-1850, Juhasz-Pocsine,K.,et al, 2007 See this aricle in Pubmed Article Abstract The neurologic complications affected most regions of the nervous system: encephalopathy, optic neuropathy, myelopathy, polyradiculoneuropathy, and polyneuropathy. Myelopathy was the most frequent and disabling problem; symptoms began about a decade after surgery. Encephalopathy and polyradiculoneuropathy were acute and early complications. Except for vitamin B12 and copper deficiencies in patients with myelopathy, we could not correlate specific nutritional deficiencies to the neurologic complications. All patients had multiple nutritional deficiencies, but their correction did not often yield dramatic results. The best result was achieved in one patient after surgical revision to reduce the bypassed jejunum. A wide spectrum of serious neurologic conditions may follow bariatric surgery. These complications may occur acutely or decades later.

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