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A Rare Case of Noninsulinoma Pancreatogenous Hypoglycemia Syndrome
Joint Authors
Nadelson, Jeffrey
Epstein, Alan
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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 also very rare, and therapeutic approaches are still under debate.
We report the case of a 51-year-old female who underwent Roux-en-Y gastric bypass and presented with episodic postprandial hypoglycemia 2 years after surgery.
An insulinoma was absent from all abdominal imaging.
Fasting C-peptide, insulin, and glucose were normal.
Due to the possibility of NIPHS, clinical treatment was commenced with acarbose, leading to a significant reduction of hypoglycemic episodes.
NIPHS occurs in approximately 0.5% to 7% of patients with hyperinsulinemic hypoglycemia.
Sporadic hypoglycemia postgastric bypass is an important entity that should be understood by all surgeons and internists who are involved in postgastric bypass care.
American Psychological Association (APA)
Nadelson, Jeffrey& Epstein, Alan. 2012. A Rare Case of Noninsulinoma Pancreatogenous Hypoglycemia Syndrome. Case Reports in Gastrointestinal Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-451006
Modern Language Association (MLA)
Nadelson, Jeffrey& Epstein, Alan. A Rare Case of Noninsulinoma Pancreatogenous Hypoglycemia Syndrome. Case Reports in Gastrointestinal Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-451006
American Medical Association (AMA)
Nadelson, Jeffrey& Epstein, Alan. A Rare Case of Noninsulinoma Pancreatogenous Hypoglycemia Syndrome. Case Reports in Gastrointestinal Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-451006
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451006