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- Title
Surgical Treatment for Postprandial Hypoglycemia After Roux-en-Y Gastric Bypass: a Literature Review.
- Authors
Xu, Qiang; Zou, Xi; You, Lei; Wu, Wenming; Zhu, Huijuan; Wang, Linjie; Yuan, Tao; Zhao, Yupei
- Abstract
Roux-en-Y gastric bypass (RYGB) is an effective treatment for severe obesity and obesity-related comorbidities. Postprandial hypoglycemia may occur as a long-term complication after RYGB. This study reviews the literature on surgical treatment for intractable post-RYGB hypoglycemia to provide updated information. A search was performed in Embase and PubMed, and 25 papers were identified. Thirteen papers on reversal were included. Resolution of postprandial hypoglycemic symptoms occurred in 42/48 (88%) patients after reversal. Twelve papers on pancreatectomy were included. Resolution occurred in 27/50 (54%) patients after pancreatectomy. The optimal surgical treatment for intractable post-RYGB hypoglycemia has not been defined, but reversal of RYGB seems to be more effective than other treatments. Further research on etiology and long-term evaluation of surgical outcomes may refine treatment options.
- Subjects
GASTRIC bypass; HYPOGLYCEMIA; LITERATURE reviews; SYMPTOMS; PANCREATECTOMY
- Publication
Obesity Surgery, 2021, Vol 31, Issue 4, p1801
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05251-x