A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)

Post-gastric bypass hypoglycemia is characterized by postprandial hypoglycemia with pancreatic islet-cell hypertrophy in patients who have undergone a bariatric surgery and may be prone to hypoglycemia due to NAFLD, obesity, and impaired insulin and glucagon secretion.We present the case of a 44-yea...

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Detalles Bibliográficos
Autores: GONZALO, Miranda Manrique, Gonzalo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/1957
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957
Access Level:acceso abierto
Palabra clave:Hypoglycemia
Gastric Bypass
Obesity
Fatty Liver
Hipoglicemia
Bypass Gástrico
Obesidad
Hígado Graso
Descripción
Sumario:Post-gastric bypass hypoglycemia is characterized by postprandial hypoglycemia with pancreatic islet-cell hypertrophy in patients who have undergone a bariatric surgery and may be prone to hypoglycemia due to NAFLD, obesity, and impaired insulin and glucagon secretion.We present the case of a 44-year-old obese woman with NAFLD who underwent a Roux-en-Y gastric bypass and years later presented with severe hypoglycemia. She was diagnosed with endogenous hyperinsulinemic hypoglycemia and beta-cell hyperplasia.Post-gastric bypass hypoglycemia is a scenario that will be faced more often; therefore, it is important to take it into account for a timely treatment.