Efficacy of Conversion of Roux-en-Y Gastric Bypass to Roux Jejuno-Duodenostomy for Severe Medically Refractory Postprandial Hypoglycemia
| Autor: | Michael L. Kendrick, Kabir Mehta, Todd A. Kellogg, Michael G. Sarr, Travis J. McKenzie |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Duodenostomy Gastric bypass Gastric Bypass 030209 endocrinology & metabolism Gastroenterology 03 medical and health sciences 0302 clinical medicine Refractory Weight loss Internal medicine medicine Humans Retrospective Studies Nutrition and Dietetics business.industry nutritional and metabolic diseases Postprandial Period Roux-en-Y anastomosis Hypoglycemia Obesity Morbid Postprandial 030211 gastroenterology & hepatology Surgery medicine.symptom business Complication Postprandial Hypoglycemia |
| Zdroj: | Obesity Surgery. 30:4141-4144 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-020-04694-y |
| Popis: | Treatment of medically refractory postprandial hypoglycemia after Roux-en-Y Gastric bypass (RYGB) is often unsuccessful. Various operations have been described with poor results. We describe a novel procedure and retrospective review of 8 patients who underwent Roux jejuno-duodenostomy for postprandial hypoglycemic symptoms refractory to dietary modification and medications. Mean follow-up was 35 months. Complete resolution occurred in two of the patients, marked improvement in four, and no improvement in two. The mean frequency of hypoglycemic symptoms decreased from 30 to 7 episodes per week (p = 0.015). One complication was noted with no mortality. Mean weight decreased postoperatively by 0.8 kg (p = 0.93). Conversion to a Roux jejuno-duodenostomy appears to be a safe and effective treatment with maintenance of post-RYGB weight loss in most such cases. |
| Databáze: | OpenAIRE |
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