Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment

Amanda Sheehan,1 Mary Elizabeth Patti1,2 1Research Division, Joslin Diabetes Center, Boston, MA, USA; 2Harvard Medical School, Boston, MA, USACorrespondence: Mary Elizabeth PattiResearch Division, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215, USATel +1 617-309-1966Fax +1 617-309-2593Emai...

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Autores principales:	Sheehan A, Patti ME
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	hypoglycemia post-bariatric hypoglycemia upper gastrointestinal surgery bariatric surgery Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/7bee98d6acbe400a813deeb8006279ee
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spelling	oai:doaj.org-article:7bee98d6acbe400a813deeb8006279ee2021-12-02T16:04:04ZHypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment1178-7007https://doaj.org/article/7bee98d6acbe400a813deeb8006279ee2020-11-01T00:00:00Zhttps://www.dovepress.com/hypoglycemia-after-upper-gastrointestinal-surgery-clinical-approach-to-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Amanda Sheehan,1 Mary Elizabeth Patti1,2 1Research Division, Joslin Diabetes Center, Boston, MA, USA; 2Harvard Medical School, Boston, MA, USACorrespondence: Mary Elizabeth PattiResearch Division, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215, USATel +1 617-309-1966Fax +1 617-309-2593Email Mary.elizabeth.patti@joslin.harvard.eduContext: Post-bariatric hypoglycemia (PBH) is an increasingly encountered complication of upper gastrointestinal surgery; the prevalence of this condition is anticipated to rise given yearly increases in bariatric surgical procedures. While PBH is incompletely understood, there is a growing body of research describing the associated factors, mechanisms, and treatment approaches for this condition.Evidence Acquisition: Data are integrated and summarized from studies of individuals affected by PBH and hypoglycemia following upper gastrointestinal surgery obtained from PubMed searches (1990– 2020).Evidence Synthesis: Information addressing etiology, incidence/prevalence, clinical characteristics, assessment, and treatment were reviewed and synthesized for the practicing physician. Literature reports were supplemented by clinical experience as indicated, when published data were not available.Conclusion: PBH can be life-altering and severe for a subset of individuals. Given the chronic nature of this condition, and sequelae of both acute and recurrent episodes, increasing provider awareness of both the condition and associated risk factors is critical for assessment, prompt diagnosis, treatment, and preoperative identification of individuals at risk.Keywords: hypoglycemia, post-bariatric hypoglycemia, upper gastrointestinal surgery, bariatric surgerySheehan APatti MEDove Medical Pressarticlehypoglycemiapost-bariatric hypoglycemiaupper gastrointestinal surgerybariatric surgerySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 4469-4482 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hypoglycemia post-bariatric hypoglycemia upper gastrointestinal surgery bariatric surgery Specialties of internal medicine RC581-951
spellingShingle	hypoglycemia post-bariatric hypoglycemia upper gastrointestinal surgery bariatric surgery Specialties of internal medicine RC581-951 Sheehan A Patti ME Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
description	Amanda Sheehan,1 Mary Elizabeth Patti1,2 1Research Division, Joslin Diabetes Center, Boston, MA, USA; 2Harvard Medical School, Boston, MA, USACorrespondence: Mary Elizabeth PattiResearch Division, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215, USATel +1 617-309-1966Fax +1 617-309-2593Email Mary.elizabeth.patti@joslin.harvard.eduContext: Post-bariatric hypoglycemia (PBH) is an increasingly encountered complication of upper gastrointestinal surgery; the prevalence of this condition is anticipated to rise given yearly increases in bariatric surgical procedures. While PBH is incompletely understood, there is a growing body of research describing the associated factors, mechanisms, and treatment approaches for this condition.Evidence Acquisition: Data are integrated and summarized from studies of individuals affected by PBH and hypoglycemia following upper gastrointestinal surgery obtained from PubMed searches (1990– 2020).Evidence Synthesis: Information addressing etiology, incidence/prevalence, clinical characteristics, assessment, and treatment were reviewed and synthesized for the practicing physician. Literature reports were supplemented by clinical experience as indicated, when published data were not available.Conclusion: PBH can be life-altering and severe for a subset of individuals. Given the chronic nature of this condition, and sequelae of both acute and recurrent episodes, increasing provider awareness of both the condition and associated risk factors is critical for assessment, prompt diagnosis, treatment, and preoperative identification of individuals at risk.Keywords: hypoglycemia, post-bariatric hypoglycemia, upper gastrointestinal surgery, bariatric surgery
format	article
author	Sheehan A Patti ME
author_facet	Sheehan A Patti ME
author_sort	Sheehan A
title	Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
title_short	Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
title_full	Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
title_fullStr	Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
title_full_unstemmed	Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment
title_sort	hypoglycemia after upper gastrointestinal surgery: clinical approach to assessment, diagnosis, and treatment
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/7bee98d6acbe400a813deeb8006279ee
work_keys_str_mv	AT sheehana hypoglycemiaafteruppergastrointestinalsurgeryclinicalapproachtoassessmentdiagnosisandtreatment AT pattime hypoglycemiaafteruppergastrointestinalsurgeryclinicalapproachtoassessmentdiagnosisandtreatment
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Hypoglycemia After Upper Gastrointestinal Surgery: Clinical Approach to Assessment, Diagnosis, and Treatment

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