Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery
Fatimah Alawami 1 * , Alya Al Hajjaj 2
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1 Department of Internal Medicine, Royal Commission Hospital, SAUDI ARABIA
2 Department of Internal Medicine, Qatif Central Hospital, SAUDI ARABIA
* Corresponding Author

Abstract

As bariatric surgery for the treatment of obesity become popular, it is important to recognize its acute and chronic complicatons. Here, we report a case of a 39-year-old lady who presented to endocrine clinic with six months history of sever postprandial hypoglycemia thirteen years after Roux-en-Y-gastric bypass surgery. After confirmation of whipple’s triad, she underwent provocative meal test which revealed hyperinsulinemic hypoglycemia. She responded well to medical nutrition therapy and Acarbose. Since most of the reported cases of post bariatric hypoglycemia presented 1-5 years after their surgery, we report this rare case who presented 13 years after her surgery.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

https://doi.org/10.29333/ejgm/7619

Electron J Gen Med, 2020 - Volume 17 Issue 2, Article No: em189

Publication date: 15 Feb 2020

Article Views: 314

Article Downloads: 330

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