Karimi Mehdi, Kohandel Gargari Omid
Faculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine.
Faculty of Medicine, Alborz University of Medical Sciences (ABZUMS), Karaj, Iran.
Front Surg. 2024 Nov 1;11:1449012. doi: 10.3389/fsurg.2024.1449012. eCollection 2024.
Postprandial hypoglycemia (PPH) is a challenging and significant complication that can occur following bariatric and metabolic surgery. Symptoms of PPH are typical of hypoglycemia, such as sweating, weakness, disorientation, palpitation, etc. The complex nature of PPH is essential to achieve accurate diagnosis and effective management. This review aims to give extensive coverage of the intricate nature of PPH common with bariatric and metabolic surgery, outlining its pathogenesis, risk factors, clinical presentation, diagnostic strategies, and treatment options. The study explores various clinical forms and pathogenic mechanisms behind PPH while discussing diagnostic tools like continuous glucose monitoring or mixed meal tolerance tests. Furthermore, it considers possible interventions, including dietary changes, pharmaceutical therapies, and surgeries, to relieve symptoms and improve patient's quality of life. It aims to comprehensively understand how healthcare professionals can effectively manage this disorder for patients undergoing bariatric and metabolic surgery.
餐后低血糖（PPH）是一种具有挑战性且较为严重的并发症，可发生于减肥和代谢手术后。PPH的症状为典型的低血糖症状，如出汗、虚弱、定向障碍、心悸等。PPH的复杂性对于实现准确诊断和有效管理至关重要。本综述旨在广泛涵盖减肥和代谢手术常见的PPH的复杂本质，概述其发病机制、危险因素、临床表现、诊断策略和治疗选择。该研究探讨了PPH背后的各种临床形式和致病机制，同时讨论了连续血糖监测或混合餐耐量试验等诊断工具。此外，还考虑了包括饮食改变、药物治疗和手术在内的可能干预措施，以缓解症状并改善患者的生活质量。其目的是全面了解医疗保健专业人员如何有效地为接受减肥和代谢手术的患者管理这种疾病。
