Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma

We describe a case of a 40 year old patient with recurrent severe fasting and postprandial symptomatic hypoglycemia that occurred 6 years after gastric bypass surgery. The hypoglycemia was associated with increased insulin and C peptide but all diagnostic modalities for localizing an insulinoma were...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mohammed Qintar, Firas Sibai, Mohammad Taha
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2012
Materias:	hypoglycemia nesidioblastosis gastric bypass surgery noninsulinoma pancreatogenous hypoglycaemia syndrome niphs Medicine R
Acceso en línea:	https://doaj.org/article/137c3fc8f1bd47e4a1a2abf3e914605c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:137c3fc8f1bd47e4a1a2abf3e914605c
record_format	dspace
spelling	oai:doaj.org-article:137c3fc8f1bd47e4a1a2abf3e914605c2021-12-02T16:24:51ZHypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma2231-07702249-446410.4103/2231-0770.99164https://doaj.org/article/137c3fc8f1bd47e4a1a2abf3e914605c2012-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.99164https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464We describe a case of a 40 year old patient with recurrent severe fasting and postprandial symptomatic hypoglycemia that occurred 6 years after gastric bypass surgery. The hypoglycemia was associated with increased insulin and C peptide but all diagnostic modalities for localizing an insulinoma were negative. Medical management failed to control symptoms and the patient underwent subtotal pancreatectomy. Surgical tissue examination confirmed the diagnosis of noninsulinoma pancreatogenous hypoglycaemia syndrome (NIPHS) or nesidioblastosis. Initially after surgery the patient had full remission but after 6 months hypoglycemia recurred. However, this time it was well-controlled with octreotide treatment.Mohammed QintarFiras SibaiMohammad TahaThieme Medical and Scientific Publishers Pvt. Ltd.articlehypoglycemianesidioblastosisgastric bypass surgerynoninsulinoma pancreatogenous hypoglycaemia syndromeniphsMedicineRENAvicenna Journal of Medicine, Vol 02, Iss 02, Pp 45-47 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypoglycemia nesidioblastosis gastric bypass surgery noninsulinoma pancreatogenous hypoglycaemia syndrome niphs Medicine R
spellingShingle	hypoglycemia nesidioblastosis gastric bypass surgery noninsulinoma pancreatogenous hypoglycaemia syndrome niphs Medicine R Mohammed Qintar Firas Sibai Mohammad Taha Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
description	We describe a case of a 40 year old patient with recurrent severe fasting and postprandial symptomatic hypoglycemia that occurred 6 years after gastric bypass surgery. The hypoglycemia was associated with increased insulin and C peptide but all diagnostic modalities for localizing an insulinoma were negative. Medical management failed to control symptoms and the patient underwent subtotal pancreatectomy. Surgical tissue examination confirmed the diagnosis of noninsulinoma pancreatogenous hypoglycaemia syndrome (NIPHS) or nesidioblastosis. Initially after surgery the patient had full remission but after 6 months hypoglycemia recurred. However, this time it was well-controlled with octreotide treatment.
format	article
author	Mohammed Qintar Firas Sibai Mohammad Taha
author_facet	Mohammed Qintar Firas Sibai Mohammad Taha
author_sort	Mohammed Qintar
title	Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
title_short	Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
title_full	Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
title_fullStr	Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
title_full_unstemmed	Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
title_sort	hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2012
url	https://doaj.org/article/137c3fc8f1bd47e4a1a2abf3e914605c
work_keys_str_mv	AT mohammedqintar hypoglycemiaduetoanadultonsetnesidioblastosisadiagnosticandmanagementdilemma AT firassibai hypoglycemiaduetoanadultonsetnesidioblastosisadiagnosticandmanagementdilemma AT mohammadtaha hypoglycemiaduetoanadultonsetnesidioblastosisadiagnosticandmanagementdilemma
_version_	1718384096027082752

Hypoglycemia due to an adult-onset nesidioblastosis, a diagnostic and management dilemma

Ejemplares similares