Non-insulinoma pancreatogenous hypoglycemia syndrome due to nesidioblastosis following bariatric Roux-en-Y gastric bypass.

Autor:	Gottsponer, Josephine A, Baker, David L, Osborn, Tamara, Estrada, Martha M, Giorgakis, Emmanouil, Burdine, Lyle J, Patel, Raj B
Předmět:	GASTRIC bypass PANCREATIC intraepithelial neoplasia HYPOGLYCEMIA MORBID obesity SYNCOPE SYNDROMES HYPERINSULINISM
Zdroj:	Journal of Surgical Case Reports; Feb2023, Vol. 2023 Issue 2, p1-2, 2p
Abstrakt:	A 56-year-old woman with past medical history significant for bariatric Roux-en-Y gastric bypass 3 years prior presented for evaluation of an 8-month history of severe hypoglycemia relieved by intake of carbohydrates associated with syncopal episodes. Inpatient workup revealed endogenous hyperinsulinemia concerning for insulinoma vs. nesidioblastosis. She successfully underwent pancreaticoduodenectomy (Whipple procedure), and pathology report confirmed scattered low-grade intraepithelial neoplasia within the pancreatic parenchyma consistent with nesidioblastosis. The patient has had satisfactory control of glucose levels 30 days out from surgery. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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