A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
DOI:
https://doi.org/10.24265/horizmed.2022.v22n4.10Keywords:
Hypoglycemia , Gastric Bypass, Obesity, Fatty LiverAbstract
Post-gastric bypass hypoglycemia is characterized by postprandial hypoglycemia with pancreatic islet-cell hypertrophy in patients who have undergone a bariatric surgery and may be prone to hypoglycemia due to NAFLD, obesity, and impaired insulin and glucagon secretion.
We present the case of a 44-year-old obese woman with NAFLD who underwent a Roux-en-Y gastric bypass and years later presented with severe hypoglycemia. She was diagnosed with endogenous hyperinsulinemic hypoglycemia and beta-cell hyperplasia.
Post-gastric bypass hypoglycemia is a scenario that will be faced more often; therefore, it is important to take it into account for a timely treatment.
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