胃空肠吻合术后胃幽门溃疡患者因胰岛素瘤导致低血糖症

Insulinoma-Induced Hypoglycemia in a Patient with Insulinoma after Gastrojejunostomy for Prepyloric Ulcer.

作者信息

Koca Yavuz Savas, Aydın Bünyamin, Koca Tugba, Bülbül Mustafa Tevfik, Tamer Mehmet Numan

机构信息

Department of General Surgery, School of Medicine, Suleyman Demirel University, 32200 Isparta, Turkey.

Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Suleyman Demirel University, 32200 Isparta, Turkey.

出版信息

Case Rep Surg. 2015;2015:127914. doi: 10.1155/2015/127914. Epub 2015 Oct 8.

DOI:10.1155/2015/127914

PMID:26558131

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4618123/

Abstract

Hyperinsulinism due to dumping syndrome following gastric surgery is an uncommon condition. It is specified with hypoglycemic attacks. However, linking symptoms to dumping syndrome in each patient to whom gastric surgery was performed leads to inappropriate diagnosis and therapy. Insulinoma and other causes that give rise to hyperinsulinemia should not be ignored and these diagnoses should be excluded. In this paper, 71-year-old male patient who was followed up for 2 years with a false conclusion of dumping syndrome and operated on due to insulinoma diagnosed at endoscopic ultrasonography is presented in the light of the literature.

摘要

胃手术后倾倒综合征所致高胰岛素血症是一种罕见病症。其特点为低血糖发作。然而，对于每一位接受过胃手术的患者，将症状与倾倒综合征相联系会导致不恰当的诊断和治疗。不应忽视胰岛素瘤及其他导致高胰岛素血症的病因，应排除这些诊断。本文结合文献报道了一名71岁男性患者，该患者因被误诊为倾倒综合征而随访2年，最终经内镜超声检查诊断为胰岛素瘤并接受了手术。