Hypoglycemia Worsened by Glucose Administration: A Case of Hypoglycemia Years After Gastric Surgery
| Autor: | Ryan P. Offman, Kendel M. Margart, Nicholas M. McManus |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Gastric bypass Gastric Bypass Nesidioblastosis Hypoglycemic episodes Hypoglycemia 03 medical and health sciences 0302 clinical medicine medicine Humans Acarbose business.industry Emergency department Syndrome Middle Aged medicine.disease Surgery Obesity Morbid Glucose 030220 oncology & carcinogenesis Emergency Medicine 030211 gastroenterology & hepatology Female business Hyperinsulinism medicine.drug Postprandial Hypoglycemia |
| Zdroj: | The Journal of emergency medicine. 60(4) |
| ISSN: | 0736-4679 |
| Popis: | Background Noninsulinoma pancreatogenous hypoglycemia syndrome (NIPHS) is a rare syndrome characterized by postprandial hypoglycemia with neuroglycopenic symptoms occurring 1 to 3 h after a meal. Diagnosis can be elusive, as the vast majority of patients have normal fasting blood glucose levels, and onset of hypoglycemic episodes can be a late complication of gastric surgery. Case Report We report the case of a 45-year-old woman presenting to the Emergency Department (ED) with new-onset seizures and hypoglycemia worsened by glucose administration. Surgical history is pertinent for a Roux-en-Y gastric bypass approximately 10 years prior to presentation. Why Should an Emergency Physician Be Aware of This? Although rare, it is important for emergency physicians to be vigilant of this disease process as a traditional treatment approach for hypoglycemia may be detrimental. Although cases of NIPHS have been documented in literature, its presence in emergency medicine-specific literature is seemingly nonexistent. Noninvasive imaging techniques will be normal, and diagnosis is dependent on awareness of this disease entity coupled with a detailed history. |
| Databáze: | OpenAIRE |
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