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一名中年女性在减肥手术后出现低血糖的不寻常原因。

An unusual cause of hypoglycemia in a middle-aged female after bariatric surgery.

作者信息

Pathak Ranjan, Karmacharya Paras, Salman Ahmed, Alweis Richard

机构信息

Department of Internal Medicine, Reading Health System, West Reading, PA, USA.

出版信息

J Community Hosp Intern Med Perspect. 2014 Apr 14;4(2). doi: 10.3402/jchimp.v4.23118. eCollection 2014.

DOI:10.3402/jchimp.v4.23118
PMID:24765253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3992353/
Abstract

Non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS) is a disorder characterized by postprandial hypoglycemia and islet cell hypertrophy. It is an uncommon complication of weight-loss surgery. However, with the rising incidence of gastric bypass surgeries, it is important to be able to recognize the clinical picture of NIPHS and not to incorrectly ascribe the symptoms to late dumping syndrome.

摘要

非胰岛素瘤性胰腺源性低血糖综合征(NIPHS)是一种以餐后低血糖和胰岛细胞肥大特征的病症。它是减肥手术的一种罕见并发症。然而,随着胃旁路手术发病率的上升,能够识别NIPHS的临床表现并避免将症状错误归因于晚期倾倒综合征非常重要。

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本文引用的文献

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Hepatobiliary Pancreat Dis Int. 2010 Jun;9(3):234-41.
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Successful medical management of status post-Roux-en-Y-gastric-bypass hyperinsulinemic hypoglycemia.Roux-en-Y胃旁路术后高胰岛素性低血糖症的成功药物治疗
Obes Surg. 2009 Sep;19(9):1333-4. doi: 10.1007/s11695-009-9888-5. Epub 2009 Jun 24.
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Postgastric bypass hyperinsulinemic hypoglycemia syndrome: characterization and response to a modified diet.胃旁路术后高胰岛素血症低血糖综合征:特征及对改良饮食的反应
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Patients with neuroglycopenia after gastric bypass surgery have exaggerated incretin and insulin secretory responses to a mixed meal.胃旁路手术后发生神经低血糖症的患者,对混合餐的肠促胰岛素和胰岛素分泌反应增强。
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World J Gastroenterol. 2006 Nov 28;12(44):7221-4. doi: 10.3748/wjg.v12.i44.7221.
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