2012年11月1日 · Severe hypoglycemia characterized by neuroglycopenic symptoms is a recently described and relatively uncommon complication of gastric bypass surgery. It occurs several months to years after surgery and may be distinct from the more commonly encountered dumping syndrome that occurs early in the postoperative course and usually improves with time.

2023年5月22日 · In this article, we will discuss why hypoglycemia may occur after a gastric bypass, in addition to symptoms, treatment, and possible methods of prevention.

2017年4月1日 · Study is needed to elucidate the pathophysiology to further understand why most patients have no hypoglycemia after gastric bypass, some have mild to moderate PGBH, and a small percentage have severe PGBH with debilitating neuroglycopenia unresponsive to dietary changes and medications.

2023年8月15日 · Post-bariatric surgery hypoglycemia is commonly associated with Roux-en-Y gastric bypass (RYGB) surgery. However, it can also occur with different types of bariatric surgeries, such as sleeve gastrectomy (SG) and laparoscopically adjustable gastric band (LAGB).

Hypoglycemia is increasingly recognized as a complication of bariatric surgery. Although medications are often required, medical nutrition therapy remains the key cornerstone for successful prevention of hypoglycemia in patients with post-bariatric hypoglycemia (PBH).

2018年8月1日 · Objective: In this review, we summarize and integrate data from studies of patients affected by hypoglycemia after Roux-en-Y gastric bypass (RYGB) surgery, obtained from PubMed searches (1990 to 2017) and reference searches of relevant retrieved articles.

As the obesity epidemic worsens, more people are opting for weight-loss surgery, including gastric bypass. Of the possible complications associated with this procedure, hypoglycemia secondary to hyperinsulinemia is becoming a more common and therefore more relevant problem.

Postprandial hyperinsulinemic hypoglycemia is an uncommon yet well-established complication of Roux-en-Y gastric bypass (RYGB) that can result in serious morbidity and adversely affect quality of life. It is often unrecognized and may be difficult to diagnose. Management is challenging.

diagnosis of post-gastric bypass hypoglycemia. It is unclear what role more detailed studies, such as 72-hour fast, radiologic imaging or selective arterial calcium stimulation play in evaluation. However, atypical symptoms in these patients (such as fasting or overnight hypoglycemia) should be fully explained with a thorough evaluation.

2025年2月1日 · PBH typically occurs more than 12 months after bariatric surgery, with symptoms presenting 1 to 3 hours after eating. Symptoms that occur in a fasting state, nocturnal hypoglycemia, or exercise-induced hypoglycemia are less likely to be PBH.