A case report: Liraglutide as a novel treatment option in late dumping syndrome
نویسندگان
چکیده
RATIONALE Postprandial hyperinsulinemic hypoglycemia, known as late dumping syndrome, is a rare but often misdiagnosed complication after gastric surgery. The pathophysiological mechanisms are poorly understood and the treatment of this syndrome is challenging. PATIENT CONCERNS New-onset postsurgical late dumping syndrome after Toupet fundoplication. DIAGNOSES Sigstad Score, OGTT, CGM. INTERVENTIONS Daily subcutaneous injection of liraglutide (0.6 mg and 1.2 mg). OUTCOMES Reduction in fasting and postprandial peak insulin level with improvement in symptomatic hypoglycemic events. LESSONS Liraglutide may be a novel treatment option for postprandial hyperinsulinemic hypoglycemia after gastric surgery.
منابع مشابه
Endodontic Therapy of the Periapical Lesion in the Anterior Mandibular in a Patient with Tricho-Dento-Osseous Syndrome and Consumer of Immunosuppressive Drug: A Case Report
Tricho-Dento-Osseous syndrome is a rare autosomal dominant disorder. Immunosuppressive drugs, though critical to the treatment, have undesirable effects on patient's healing process. This is a case report of a 10-year-old female, suffering from Tricho-Dento-Osseous syndrome who was under treatment with penicillamine. As the dental treatment was sought too late, both central and lateral incisors...
متن کاملرژیمدرمانی در Colonic interposition و گاسترکتومی همزمان
Background: Diet therapy in gastrointestinal (GI) surgeries is influenced by site of surgery and its complications. Some GI surgeries are rare so diet therapy becomes complicated. The aim of this report is informed the appropriate nutritional management in wide and rare GI surgeries. Case report: The case is a patient by colon interposition and partial gastrectomy surgery. Complications suc...
متن کاملIncretin Kinetics Before and After Miglitol in Japanese Patients With Late Dumping Syndrome
BACKGROUND In patients with late dumping syndrome following gastrectomy, it has been reported that hypoglycemia occurs due to inhibition of glucagon secretion as a result of excessive insulin production facilitated by an increase in glucagon-like peptide-1 (GLP-1). METHODS To determine the kinetics of incretins in Japanese patients with late dumping syndrome, an oral glucose tolerance test wa...
متن کاملEffect of Liraglutide on Type B Insulin Resistance Syndrome and Insulin Allergy in Type 2 Diabetes: A Case Report
INTRODUCTION The appearance of anti-insulin antibodies or an allergy to insulin occasionally causes clinical problems with glycemic control in insulin users. METHODS In the present report, we describe a therapeutic approach that was employed for a man with type 2 diabetes who had insulin allergy, anti-insulin antibodies, and anti-insulin receptor antibodies that developed during his insulin t...
متن کاملNovel Presentation of Complete Coronal Urethral Duplication: a Case Report
Urethralduplication is a rare condition occurs as a congenital malformation either independently or in the setting of other congenital malformations such as caudal duplication syndrome. Its prevalence becomes even rarer if it manifests as two side-by-side tracts in coronal plan.Nonetheless, we introduce a unique presentation of complete coronal urethral duplication accompanied by astoundin...
متن کامل