A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)

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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-yea...

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Detalles Bibliográficos
Autor: Miranda Manrique, Gonzalo
Formato: artículo
Fecha de Publicación:2022
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Lenguaje:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/1957
Enlace del recurso:https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957
Nivel de acceso:acceso abierto
Materia:Hypoglycemia
Gastric Bypass
Obesity
Fatty Liver
Hipoglicemia
Bypass Gástrico
Obesidad
Hígado Graso
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spelling A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)Miranda Manrique, Gonzalo Hypoglycemia Gastric BypassObesityFatty LiverHipoglicemiaBypass GástricoObesidadHígado GrasoPost-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.La hipoglucemia posterior la desviación gástrica se caracteriza por hipoglucemia posprandial con hipertrofia de las células de los islotes pancreáticos en pacientes tras someterse a una cirugía bariátrica, en quienes la EHGNA, la obesidad y la secreción alterada de la insulina y del glucagón pueden predisponerlos a presentar hipoglucemia.Se presenta el caso de una paciente de 44 años con obesidad y EHGNA sometida a una desviación gástrica en Y de Roux, quien años después presentó hipoglucemia severa. Fue diagnosticada de hipoglicemia por hiperinsulinismo endógeno con histología de hiperplasia de células beta.La hipoglicemia posterior a una desviación gástrica es un escenario que se afrontará más a menudo, por tal razón, es importante tenerla en cuenta para un tratamiento oportuno.Universidad de San Martín de Porres. Facultad de Medicina Humana2022-12-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmltext/xmlhttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/195710.24265/horizmed.2022.v22n4.10Horizonte Médico (Lima); Vol. 22 No. 4 (2022): October - December; e1957Horizonte Médico (Lima); Vol. 22 Núm. 4 (2022): Octubre - Diciembre; e1957Horizonte Médico (Lima); v. 22 n. 4 (2022): Outubro - Decembro; e19572227-35301727-558Xreponame:Horizonte médicoinstname:Universidad de San Martín de Porresinstacron:USMPspahttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1352https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1394https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1379Derechos de autor 2022 Horizonte Médico (Lima)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:horizontemedico.usmp.edu.pe:article/19572022-12-17T15:17:19Z
dc.title.none.fl_str_mv A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)
title A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
spellingShingle A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
Miranda Manrique, Gonzalo
Hypoglycemia
Gastric Bypass
Obesity
Fatty Liver
Hipoglicemia
Bypass Gástrico
Obesidad
Hígado Graso
title_short A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
title_full A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
title_fullStr A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
title_full_unstemmed A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
title_sort A case of severe hypoglycemia after gastric bypass surgery in a woman with non-alcoholic fatty liver disease (NAFLD)
dc.creator.none.fl_str_mv Miranda Manrique, Gonzalo
author Miranda Manrique, Gonzalo
author_facet Miranda Manrique, Gonzalo
author_role author
dc.subject.none.fl_str_mv Hypoglycemia
Gastric Bypass
Obesity
Fatty Liver
Hipoglicemia
Bypass Gástrico
Obesidad
Hígado Graso
topic Hypoglycemia
Gastric Bypass
Obesity
Fatty Liver
Hipoglicemia
Bypass Gástrico
Obesidad
Hígado Graso
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957
10.24265/horizmed.2022.v22n4.10
url https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957
identifier_str_mv 10.24265/horizmed.2022.v22n4.10
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1352
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1394
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1957/1379
dc.rights.none.fl_str_mv Derechos de autor 2022 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2022 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/html
text/xml
dc.publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
dc.source.none.fl_str_mv Horizonte Médico (Lima); Vol. 22 No. 4 (2022): October - December; e1957
Horizonte Médico (Lima); Vol. 22 Núm. 4 (2022): Octubre - Diciembre; e1957
Horizonte Médico (Lima); v. 22 n. 4 (2022): Outubro - Decembro; e1957
2227-3530
1727-558X
reponame:Horizonte médico
instname:Universidad de San Martín de Porres
instacron:USMP
instname_str Universidad de San Martín de Porres
instacron_str USMP
institution USMP
reponame_str Horizonte médico
collection Horizonte médico
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 13.4165325
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