The Nutrtional disorder Beriberi caused by lack of Vitamin B1 Thiamine...

[Guest guest]

Article reference:

http://www.laleva.org/eng/2004/09/lack_of_vitamin_b1_thiamine_beriberi_s\

een_after_teen_gastric_bypass.html

Lack of Vitamin B1, Thiamine: Beriberi Seen After Teen Gastric Bypass

Beriberi Seen After Teen Gastric Bypass

Fri Sep 3, 1:39 PM ET

Source: News <http://news./>

By Rauscher

NEW YORK (Reuters Health) - The nutritional disorder, beriberi -- caused

by lack of vitamin B1 in the diet -- can appear in teens who have

undergone gastric bypass surgery for severe obesity.

Dr. H. Inge from Cincinnati Children's Hospital Medical Center

and colleagues report three such cases in the Journal of Pediatrics.

The hallmark of beriberi is peripheral nerve damage, and other symptoms

can include fatigue, sleep disturbances, and anorexia. It used to be

common in populations that relied on rice as the dietary staple, because

polished rice loses its thiamine (or vitamin B1) content.

Beriberi can also arise because of poor absorption of nutrients, as

happens with gastric bypass. " The key to successful treatment of this

problem lies in prompt recognition and thiamine supplementation, " Inge's

team emphasizes.

The fact that all three adolescents in the report responded to

supplemental thiamine confirmed the diagnosis of beriberi in these

individuals.

While beriberi has been described in adults after gastric bypass, these

are the first reported cases of it occurring in younger patients, Inge

told Reuters Health.

It is not clear in the current cases whether thiamine deficiency

developed despite adequate intake or because of poor compliance with

prescribed vitamin supplements.

" Recognizing that adolescents are prone to risk taking behaviors, and

struggle with autonomy issues, there will be difficulty maintaining

medical compliance (including dietary, vitamin and mineral intake)

postoperatively, " Inge said. " This places them at somewhat higher risk. "

Gastric bypass for adolescents should involve a multi-member team of

health professionals who are experts on pediatric issues, " to minimize

the likelihood of postoperative nutritional complications, " he added.

Based on these cases, Inge said he now starts adolescent patients who

are scheduled for gastric bypass on a daily multivitamin several months

prior to surgery, and he adds a separate vitamin B complex supplement

after surgery.

Moreover, he believes that it " may be wise " to augment thiamine for

teens who've had gastric bypass to more than the usually recommended

daily intake of 1.5 milligrams, to further reduce the chance of

beriberi.

SOURCE: Journal of Pediatrics, August 2004.

Posted by on September 6, 2004 1:47 PM | Permalink

<http://www.laleva.org/eng/2004/09/lack_of_vitamin_b1_thiamine_beriberi_\

seen_after_teen_gastric_bypass.html>

[Guest guest]

ps things like charcoal; enemas; and laxatives deplete Thiamine Vit. B1; the

best laxative around is actully plain Cooked Oatmeal; Oatmeal has: Thiamine B1

and trace amounts of every other single B-Vitmain; plus Oatmeal plain has

Magneisum; the worlds' greatest natrual lax; a.

add Cinnamon and a tocuh of maple syrup pure to flavor the plain oats.

>

> Article reference:

> http://www.laleva.org/eng/2004/09/lack_of_vitamin_b1_thiamine_beriberi_s\

> een_after_teen_gastric_bypass.html

> Lack of Vitamin B1, Thiamine: Beriberi Seen After Teen Gastric Bypass

> Beriberi Seen After Teen Gastric Bypass

> Fri Sep 3, 1:39 PM ET

>

> Source: News <http://news./>

>

> By Rauscher

>

> NEW YORK (Reuters Health) - The nutritional disorder, beriberi -- caused

> by lack of vitamin B1 in the diet -- can appear in teens who have

> undergone gastric bypass surgery for severe obesity.

>

> Dr. H. Inge from Cincinnati Children's Hospital Medical Center

> and colleagues report three such cases in the Journal of Pediatrics.

>

> The hallmark of beriberi is peripheral nerve damage, and other symptoms

> can include fatigue, sleep disturbances, and anorexia. It used to be

> common in populations that relied on rice as the dietary staple, because

> polished rice loses its thiamine (or vitamin B1) content.

>

> Beriberi can also arise because of poor absorption of nutrients, as

> happens with gastric bypass. " The key to successful treatment of this

> problem lies in prompt recognition and thiamine supplementation, " Inge's

> team emphasizes.

>

> The fact that all three adolescents in the report responded to

> supplemental thiamine confirmed the diagnosis of beriberi in these

> individuals.

>

> While beriberi has been described in adults after gastric bypass, these

> are the first reported cases of it occurring in younger patients, Inge

> told Reuters Health.

>

> It is not clear in the current cases whether thiamine deficiency

> developed despite adequate intake or because of poor compliance with

> prescribed vitamin supplements.

>

> " Recognizing that adolescents are prone to risk taking behaviors, and

> struggle with autonomy issues, there will be difficulty maintaining

> medical compliance (including dietary, vitamin and mineral intake)

> postoperatively, " Inge said. " This places them at somewhat higher risk. "

>

> Gastric bypass for adolescents should involve a multi-member team of

> health professionals who are experts on pediatric issues, " to minimize

> the likelihood of postoperative nutritional complications, " he added.

>

> Based on these cases, Inge said he now starts adolescent patients who

> are scheduled for gastric bypass on a daily multivitamin several months

> prior to surgery, and he adds a separate vitamin B complex supplement

> after surgery.

>

> Moreover, he believes that it " may be wise " to augment thiamine for

> teens who've had gastric bypass to more than the usually recommended

> daily intake of 1.5 milligrams, to further reduce the chance of

> beriberi.

>

> SOURCE: Journal of Pediatrics, August 2004.

>

> Posted by on September 6, 2004 1:47 PM | Permalink

> <http://www.laleva.org/eng/2004/09/lack_of_vitamin_b1_thiamine_beriberi_\

> seen_after_teen_gastric_bypass.html>

>

>

>

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