Rev Bras Neurol.
53(3):5-13, 2017
COMPLICAÇÕES NEUROLÓGICAS PÓS-CIRURGIA
BARIÁTRICA: UMA REVISÃO DE LITERATURA
NEUROLOGICAL COMPLICATIONS POST-BARIATRIC SURGERY: A REVIEW
OF THE LITERATURE
Joana Carvalho Dias1, Marcos Raimundo Gomes de Freitas1
RESUMO
A obesidade é um grave problema de saúde em todo o mundo.
Apresenta alta prevalência e grande impacto sobre a mortalidade.
A cirurgia bariátrica é cada vez mais utilizada no tratamento de obe-
VLGDGHPµUELGDSRUVHPRVWUDURPDLVHȴFD]WUDWDPHQWRPDQWHQGR
a perda de peso sustentada e diminuindo a incidência das comorbi-
dades associadas. Complicações neurológicas agudas e crônicas têm
sido relatadas após este procedimento, e podem resultar principal-
PHQWH SRU GHȴFL¬QFLD QXWULFLRQDO Objetivo: Destacar as complica-
ções neurológicas comuns e raras que podem ocorrer após cirurgia
bariátrica. Metodologia: Revisão narrativa da literatura. Resultados:
Complicações neurológicas pós-cirurgia bariátrica podem ocorrer
em qualquer nível do neuroeixo ou em músculos. As mais comuns
V¥RSRUGHȴFL¬QFLDVQXWULFLRQDLVPDVRXWURVPHFDQLVPRVPDLVUDURV
SRGHPRFRUUHUFRPRLQȵDPDWµULRVHPHF¤QLFRVConclusão: Com o
aumento de incidência da obesidade, a cirurgia bariátrica tem se tor-
nado cada vez mais frequente para perda de peso. É importante ava-
liar corretamente a indicação desse procedimento uma vez que ele
não é isento de complicações. Embora a maioria das complicações
do sistema nervoso central, periférico e musculoesquelético após a
FLUXUJLDEDUL£WULFDVHMDGHYLGRDGHȴFL¬QFLDVQXWULFLRQDLVH[LVWHPRX-
WUDVQHXURSDWLDVDVVRFLDGDVFRPHQYROYLPHQWRLQȵDPDWµULRGRQHUYR
SHULI«ULFR8PSURFHVVRDXWRLPXQHWHPVLGRDFHLWRFRPRȴVLRSDWR-
logia subjacente.
Palavras-chave: cirurgia bariátrica, polineuropatias, complicações
QHXUROµJLFDVGHȴFL¬QFLDQXWULFLRQDOREHVLGDGH
Universidade Federal Fluminense – Niterói, Rio de Janeiro
1
Endereço para correspondência:0DUFRV5*GH)UHLWDVPJGHIUHLWDV#RXWORRNFRP
Revista Brasileira de Neurologia » Volume 53 » Nº 3 » Jul/Ago/Set 2017
ABSTRACT
Obesity is a serious health problem throughout the world. It has high
SUHYDOHQFHDQGVLJQLȴFDQWLPSDFWRQPRUWDOLW\%DULDWULFVXUJHU\LVLQ-
creasingly used in the treatment of morbid obesity out to be the most
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the incidence of comorbidities. Acute and chronic neurological com-
plications have been reported after this procedure, and may result
SULPDULO\ E\ QXWULWLRQDO GHȴFLHQF\ Objective: To emphasize the
common and rare neurological complications that may occur after
bariatric surgery. Methodology: Narrative review of the literature.
Results: Neurological complications after bariatric surgery can occur
at any neuraxial level or muscle. The most common are by nutritional
GHȴFLHQF\ EXW RWKHU UDUHU PHFKDQLVPV PD\ RFFXU OLNH PHFKDQLFDO
RU LQȵDPPDWRU\ Conclusion: With increasing incidence of obesity,
bariatric surgery has become increasingly common for weight loss.
It is important to properly evaluate the indication for this procedure
since it is not without complications. Although most of the central
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peripheral nerve. An autoimmune process has been accepted as an
underlying pathophysiology.
Keywords: bariatric surgery, polineuropathies, neurological compli-
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Revista Brasileira de Neurologia » Volume 53 » Nº 3 » Jul/Ago/Set 2017 7

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12 Revista Brasileira de Neurologia » Volume 53 » Nº 3 » Jul/Ago/Set 2017

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Revista Brasileira de Neurologia » Volume 53 » Nº 3 » Jul/Ago/Set 2017 13