A Medley of Malnutrition and Myotonic Dystrophy: Twice Unlucky.

Micronutrient and vitamin deficiencies in young adults in the United States are relatively rare and often pose a diagnostic challenge. Here, we present the case of a young female who developed acute encephalopathy and muscular weakness two days following an endoscopic procedure performed to investigate the patient's four-month history of intractable nausea, vomiting, dysphagia, and weight loss. She was diagnosed with severe Wernicke encephalopathy due to thiamine deficiency as well as myotonic dystrophy type 1 (DM1).

Safety and Efficacy of Bariatric Surgery in Cirrhosis Patients With Extreme Obesity.

Objective: To assess the safety and efficacy of bariatric surgery in patients with cirrhosis.

Summary Background Data: Bariatric surgery may be a viable option for patients with cirrhosis and extreme obesity. However, the risk of liver decompensation after surgery is not thoroughly investigated.