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Hypoglykaemi efter gastrisk bypass er en diagnostisk og behandlingsmaessig udfordring
Engelsk titel: Hypoglycaemia after gastric bypass is a challenge to diagnostic procedures and treatment Läs online Författare: Bach Nielsen, Joan ; Bjerge Gribsholt, Sigrid ; Högild Pedersen, Michael ; Richelsen, Björn Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 14097261

Tidskrift

Ugeskrift for Laeger 2014;176(16)1450-3 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Treatment of severe obesity by Roux-en-Y gastric bypass (RYGB) causes sustained weight losses and improves health complica­tions. RYGB is, however, also associated with adverse effects. Dumping is a well-known complication causing invalidating symptoms, and lately there have been mounting concerns about post-RYGB hypoglycaemia. This condition is characterized by neuroglycopenia and inappropriately elevated insulin concentration. The mechanism behind this hypoglycaemia is not completely elucidated. Diagnostic procedures and treatment possibilities are discussed in this article.