Wernicke's encephalopathy is usually associated with chronic alcohol abuse.' It may also occur in other clinical contexts including hyperemesis gravidarum,2-4 inadequate diet due to malabsorption, forced or self-imposed starvation, anorexia and prolonged intravenous feeding.7 I report a case of severe Wernicke's encephalopathy where the presence ofpapilloedema caused potentially serious delay i...

A case of acute Wernicke's encephalopathy due to hyperemesis gravidarum is described. Florid bilateral papilloedema was present, resulting in diagnostic uncertainty and delay in treatment. Attention is drawn to the rare occurrence of papilloedema in Wernicke's encephalopathy, and possible underlying mechanisms for this physical finding are considered.

The increasing availability of bariatric surgery services has seen the emergence of a series of significant complications. Many of these will present to centres without local bariatric expertise. In recognition of this, the American Society of Metabolic and Bariatric Surgery (ASMBS) has issued guidelines for non-bariatric surgeons to aid in the management of bariatric surgery related complicati...

Hyperemesis gravidarum (HG) affects 1 % of all pregnant women and in western societies it is the most common cause for hospital admission during first trimester. The economic burden of the disease has barely been studied. To estimate the Israeli national burden of HG, Konikoff and co-workers obtained data retrospectively on hospital costs as well as loss of workdays from 184 women hospitalized ...

Background: Hyperemesis Gravidarum (HG) is nausea and vomiting which interfere pregnant women’s daily activities.Ondansetron (ODN) often used off label for the treatment of hyperemesis gravidarum. This study aimed to analyze theefficacy cost ondansetron versus metoclopramide (MCP), a drug that has been in standard regimen thetreatment HG. patients largest hospital Jakarta during year 2012 2016....

<p><strong><em>Background</em></strong><em>: Hyperemesis Gravidarum is severe and excessive nausea vomiting, starting at 4 6 weeks of gestation peaking 8-12 pregnancy, usually subsiding by 20 gestation. As a result pregnant women are risk dehydration, vitamin mineral deficiencies, losing 5% body weight, can even endanger the fetus's health. </em></p&...

Purpose: To evaluate the role of Helicobacter pylori in the pathogenesis of hyperemesis gravidarum, and the value of adding a non teratogenic regimen for its treatment in intractable cases. Methods: Sixty two hyperemesis gravidarum cases were recruited from Ain Shams University out patient clinics. A full history was taken including history of medical disorders as peptic ulcer and history of ch...

A case of hyperemesis gravidarum at 9 weeks' gestation is described for which no cause could initially be found. Intravenous feeding was needed as a life preserving measure and following improvement on this regime the patient went into a thyrotoxic crisis which was successfully diagnosed and treated. The continuing pregnancy and its outcome is described. The need for practitioners to remember v...

OBJECTIVE To compare 5% dextrose-0.9% saline against 0.9% saline solution in the intravenous rehydration of hyperemesis gravidarum. METHODS Women at their first hospitalization for hyperemesis gravidarum were enrolled on admission to the ward and randomly assigned to receive either 5% dextrose-0.9% saline or 0.9% saline by intravenous infusion at a rate 125 mL/h over 24 hours in a double-blin...