| 바리아트릭수술 후 저혈당 |
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하지윤, 박종숙 |
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| Hyperinsulinemic Hypoglycemia After Roux-en-Y Gastric Bypass. |
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Jiyoon Ha, Jongsuk Park |
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Department of Internal Medicine, Yonsei University, Gangnam Severance Hospital, Seoul, Korea. pjs00@yuhs.ac |
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| Abstract |
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Bariatric surgery is one of the most efficient ways to achieve weight loss and reduce the complications associated with obesity. Severe hypoglycemia can occur after bariatric surgery, though it is rare. Hypoglycemic episodes have so far been poorly studied and the pathophysiology of hypoglycemia has not yet been demonstrated. Currently, there are two different hypotheses; the first is that hypoglycemic episodes are secondary to hyperinsulinemia and result from beta-cell hyperplasia or hyperfunction. The second is that the primary problem is beta-cell failure, which allows glucose concentrations to reach high values. The few therapeutic options that have been validated are also discussed in this study. |
| Key Words:
Hypoglycemia, Bariatric surgery, Hyperinsulinism |
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