在初级保健诊所接诊的一例肥胖症手术后怀孕女性的晚期倾倒综合征病例。
A Case of Late Dumping Syndrome in a Post-bariatric Pregnant Lady Seen in a Primary Care Clinic.
作者信息
Voon Son Wong, Ganason Anu Suria, Kang Waye Hann
机构信息
Department of Population Medicine, M. Kandiah Faculty of Medicine and Health Sciences, Universiti Tunku Abdul Rahman, Kajang, MYS.
Department of Primary Healthcare, Universiti Sains Islam Malaysia, Nilai, MYS.
出版信息
Cureus. 2023 Feb 13;15(2):e34926. doi: 10.7759/cureus.34926. eCollection 2023 Feb.
Abstract
Dumping syndrome is a common complication of bariatric surgery. A high clinical suspicion of hypoglycaemic events is required as the symptoms mimic early pregnancy complaints. Diagnosis and treatment of dumping syndrome remain a challenge in pregnancy. Thus, diet modification remains a mainstay of management. This case report discusses dumping syndrome in a post-bariatric surgery mother who presented hypoglycaemia symptoms in the primary care clinic.
摘要
倾倒综合征是减肥手术后的常见并发症。由于症状类似早孕反应，因此需要高度怀疑低血糖事件。倾倒综合征的诊断和治疗在孕期仍然是一个挑战。因此，饮食调整仍然是主要的治疗方法。本病例报告讨论了一位减肥手术后的母亲在初级保健诊所出现低血糖症状的倾倒综合征。
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本文引用的文献
1
Bariatric surgery and its impact on fertility, pregnancy and its outcome: A narrative review.减重手术及其对生育力、妊娠及其结局的影响：一项叙述性综述。
Ann Med Surg (Lond). 2021 Nov 11;72:103038. doi: 10.1016/j.amsu.2021.103038. eCollection 2021 Dec.
2
The effects of bariatric surgery on periconception maternal health: a systematic review and meta-analysis.减重手术对围孕期产妇健康的影响：系统评价和荟萃分析。
Hum Reprod Update. 2021 Oct 18;27(6):1030-1055. doi: 10.1093/humupd/dmab022.
3
A Matter of Timing-Pregnancy After Bariatric Surgery.择时生育——肥胖症手术治疗后的妊娠问题。
Obes Surg. 2021 May;31(5):2072-2079. doi: 10.1007/s11695-020-05219-3. Epub 2021 Jan 11.
4
Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care.肥胖症手术后的妊娠：围孕期、产前和产后护理的共识建议。
Obes Rev. 2019 Nov;20(11):1507-1522. doi: 10.1111/obr.12927. Epub 2019 Aug 16.
5
Internal hernias in pregnant females with Roux-en-Y gastric bypass: a systematic review.Roux-en-Y 胃旁路术后孕妇内疝：系统评价。
Surg Obes Relat Dis. 2019 Sep;15(9):1633-1640. doi: 10.1016/j.soard.2019.06.009. Epub 2019 Jun 20.
6
Pregnancy after bariatric surgery: a narrative literature review and discussion of impact on pregnancy management and outcome.减重手术后的妊娠：一项叙述性文献综述，并讨论了对妊娠管理和结局的影响。
BMC Pregnancy Childbirth. 2018 Dec 27;18(1):507. doi: 10.1186/s12884-018-2124-3.
7
Pregnancy Following Bariatric Surgery-Medical Complications and Management.减肥手术后的妊娠——医学并发症与管理
Obes Surg. 2016 Oct;26(10):2523-9. doi: 10.1007/s11695-016-2294-x.
8
Maternal and neonatal outcomes in women undergoing bariatric surgery: a systematic review and meta-analysis.接受减肥手术的女性的母婴结局：一项系统评价和荟萃分析。
Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:45-53. doi: 10.1016/j.ejogrb.2014.07.015. Epub 2014 Jul 30.
9
Preparing for and managing a pregnancy after bariatric surgery.准备和管理肥胖症手术后的妊娠。
Semin Perinatol. 2011 Dec;35(6):356-61. doi: 10.1053/j.semperi.2011.05.022.
10
Pregnancy outcome of patients who conceive during or after the first year following bariatric surgery.接受减重手术后 1 年内或之后妊娠的患者的妊娠结局。
Am J Obstet Gynecol. 2011 Jan;204(1):50.e1-6. doi: 10.1016/j.ajog.2010.08.027.
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