Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery

Fatimah Alawami; Alya Al Hajjaj

doi:10.29333/ejgm/7619

Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery

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Fatimah Alawami ¹ ^* , Alya Al Hajjaj ²

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¹ Department of Internal Medicine, Royal Commission Hospital, SAUDI ARABIA² Department of Internal Medicine, Qatif Central Hospital, SAUDI ARABIA^* Corresponding Author

Abstract

As bariatric surgery for the treatment of obesity become popular, it is important to recognize its acute and chronic complicatons. Here, we report a case of a 39-year-old lady who presented to endocrine clinic with six months history of sever postprandial hypoglycemia thirteen years after Roux-en-Y-gastric bypass surgery. After confirmation of whipple’s triad, she underwent provocative meal test which revealed hyperinsulinemic hypoglycemia. She responded well to medical nutrition therapy and Acarbose. Since most of the reported cases of post bariatric hypoglycemia presented 1-5 years after their surgery, we report this rare case who presented 13 years after her surgery.

Keywords

bariatric
postprandial hyperinsulinemic hypoglycema
PBH

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTRON J GEN MED, Volume 17, Issue 2, April 2020, Article No: em189

https://doi.org/10.29333/ejgm/7619

Publication date: 15 Feb 2020

Article Views: 2025

Article Downloads: 2118

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Declaration of Conflict of Interest: No conflict of interest is declared by author(s).

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How to cite this article

Vancouver

Alawami F, Al Hajjaj A. Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery. ELECTRON J GEN MED. 2020;17(2):em189. https://doi.org/10.29333/ejgm/7619

APA

Alawami, F., & Al Hajjaj, A. (2020). Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery. Electronic Journal of General Medicine, 17(2), em189. https://doi.org/10.29333/ejgm/7619

AMA

Alawami F, Al Hajjaj A. Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery. ELECTRON J GEN MED. 2020;17(2), em189. https://doi.org/10.29333/ejgm/7619

Chicago

Alawami, Fatimah, and Alya Al Hajjaj. "Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery". Electronic Journal of General Medicine 2020 17 no. 2 (2020): em189. https://doi.org/10.29333/ejgm/7619

Harvard

Alawami, F., and Al Hajjaj, A. (2020). Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery. Electronic Journal of General Medicine, 17(2), em189. https://doi.org/10.29333/ejgm/7619

MLA

Alawami, Fatimah et al. "Post Prandial Hyperinsulnemic Hypoglycemia Thirteen Years after Gastric Bypass Surgery". Electronic Journal of General Medicine, vol. 17, no. 2, 2020, em189. https://doi.org/10.29333/ejgm/7619