Persistent hypoglycemia in a nondiabetic patient after Roux-en-Y gastric bypass: a case of noninsulinoma pancreatogenous hypoglycemia syndrome
نویسندگان
چکیده
منابع مشابه
Reversible Adrenal Insufficiency in Three Patients With Post–Roux-en-Y Gastric Bypass Noninsulinoma Pancreatogenous Hypoglycemia Syndrome
Objective. Noninsulinoma pancreatogenous hypoglycemia syndrome (NIPHS) is a disorder of endogenous hyperinsulinemia that is clinically distinguishable from insulinoma, with a greater preponderance after Roux-en-Y gastric bypass (RYBG). Hyperinsulinemic hypoglycemia can predispose to attenuation of counterregulatory hormone responses to hypoglycemia, and consequent suppression of the hypothalami...
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As the obesity pandemic continues to worsen and medical interventions remain only moderately effective, bariatric surgery remains an important option for patients. In certain instances, patients who have undergone the procedure experience postprandial symptoms of neuroglycopenia caused by noninsulinoma pancreatogenous hypoglycemia syndrome (NIPHS). NIPHS is a recently described syndrome and is ...
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Nesidioblastosis is focal or diffuse islet hyperplasia leading to hyperinsulinism with subsequent hypoglycemia in the absence of insulinoma, usually described in neonates and infancy. We described the first adult case of nesidioblastosis in Saudi Arabia and the Gulf region. The diagnosis and treatment of the condition can be very difficult and challenging. Despite the fact that our patient resp...
متن کاملSuperior Mesenteric Artery Syndrome After Roux-en-Y Gastric Bypass
BACKGROUND AND OBJECTIVES As bariatric surgery becomes more widespread, atypical complications will be seen with more frequency. In this case series, we report on 3 cases of superior mesenteric artery syndrome after gastric bypass and the laparoscopic treatment. METHODS This is a case series of 3 patients who presented with the persistent postprandial symptoms of pain and nausea after gastric...
متن کاملSuccessful Medical Management of Status Post-Roux-en-Y-Gastric-Bypass Hyperinsulinemic Hypoglycemia
Roux-en-Y gastric bypass (RYGBP) is the most commonly performed type of bariatric surgery, which is used in the treatment of obesity and type 2 diabetes. Recent case reports and case series have described a rare complication of RYGBP, status post-gastric-bypass hyperinsulinemic hypoglycemia, which was mainly managed successfully with pancreatectomy. In this letter, we describe the first success...
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ژورنال
عنوان ژورنال: Endocrinology&Metabolism International Journal
سال: 2018
ISSN: 2473-0815
DOI: 10.15406/emij.2018.06.00208