A case report: Liraglutide as a novel treatment option in late dumping syndrome.

RATIONALE

Postprandial hyperinsulinemic hypoglycemia, known as late dumping syndrome, is a rare but often misdiagnosed complication after gastric surgery. The pathophysiological mechanisms are poorly understood and the treatment of this syndrome is challenging.

PATIENT CONCERNS

New-onset postsurgical late dumping syndrome after Toupet fundoplication.

DIAGNOSES

Sigstad Score, OGTT, CGM.

INTERVENTIONS

Daily subcutaneous injection of liraglutide (0.6 mg and 1.2 mg).

OUTCOMES

Reduction in fasting and postprandial peak insulin level with improvement in symptomatic hypoglycemic events.

LESSONS

Liraglutide may be a novel treatment option for postprandial hyperinsulinemic hypoglycemia after gastric surgery.