Bibliographic Details
| Title: |
Hypoglycemia after bariatric surgery: importance of exhaustive hormonal study |
| Authors: |
Alejandra Perez-Montes de Oca, Silvia Pellitero, Manel Puig-Domingo |
| Source: |
Endocrinology, Diabetes & Metabolism Case Reports, Vol 1, Iss 1, Pp 1-4 (2021) |
| Publisher Information: |
Bioscientifica, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Diseases of the endocrine glands. Clinical endocrinology |
| Subject Terms: |
Diseases of the endocrine glands. Clinical endocrinology, RC648-665 |
| More Details: |
Hypoglycemia is an uncommon clinical problem in non-diabetic patients or patients not being treated for diabetes mellitus. It is a rare, but well-established complication of bariatric surgery and, in some cases, it can be the only symptom of another medical problem. A 50-year-old woman with a history of partially recovered hypopituitarism after transsphenoidal surgery for a non-functioning pituitary macroadenoma complained about symptomatic hypoglycemia after sleeve gastrectomy surgery. Our initial studies failed to determine the cause for these episodes and treatment with acarbose (suspecting a dumping syndrome) was not helpful. Finally, laboratory findings revealed growth hormone (GH) deficiency. The patient received treatment with GH, with the resolution of symptoms after 3 months of treatment. Our case suggests that all causes of hypoglycemia should be considered and studied after bariatric surgery. An improvement in insulin-resistance following bariatric surgery can trigger clinical manifestations of GH deficiency. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2052-0573 |
| Relation: |
https://edm.bioscientifica.com/view/journals/edm/2021/1/EDM20-0131.xml; https://doaj.org/toc/2052-0573 |
| DOI: |
10.1530/EDM-20-0131 |
| Access URL: |
https://doaj.org/article/da8da910a61c47f29a0e89c2ebabc4bd |
| Accession Number: |
edsdoj.8da910a61c47f29a0e89c2ebabc4bd |
| Database: |
Directory of Open Access Journals |
