妊娠期胃旁路术后严重低血糖
Severe post-gastric bypass hypoglycemia in pregnancy.
机构信息
Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Rehovot, Israel, and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Rehovot, Israel, and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
出版信息
Obes Res Clin Pract. 2022 May-Jun;16(3):272-275. doi: 10.1016/j.orcp.2022.04.003. Epub 2022 Apr 19.
Post-bariatric surgery hypoglycemia (PBH) is a serious and relatively prevalent complication of bariatric surgery and is often underdiagnosed due to unawareness. PBH can have a profound effect on health and quality of life. Data regarding the natural history and management of PBH during pregnancy are lacking. Here we describe a case of a 34-year-old woman who presented with intractable PBH during the second trimester of her third pregnancy, three years after a Roux-en-Y gastric bypass (RYGB). Treatment with nifedipine showed partial response and eventually intravenous (IV) glucose was needed until birth.
减重手术后低血糖（PBH）是减重手术的一种严重且较为普遍的并发症，由于人们缺乏认识，常常未能得到诊断。PBH 会对健康和生活质量产生深远的影响。关于 PBH 在怀孕期间的自然病程和处理的数据尚缺乏。在此我们描述了 1 例 34 岁女性，她在第三次妊娠的中期出现难治性 PBH，这是在 Roux-en-Y 胃旁路术（RYGB）术后 3 年发生的。硝苯地平治疗仅部分有效，最终在分娩前需要静脉（IV）输注葡萄糖。
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