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- Sonja Chiappetta and Christine Stier.
- Department of Obesity and Metabolic Surgery, Sana Klinikum Offenbach, Offenbach am Main, Germany.
- Medicine (Baltimore). 2017 Mar 1; 96 (12): e6348.
RationalePostprandial hyperinsulinemic hypoglycemia, known as late dumping syndrome, is a rare but often misdiagnosed complication after gastric surgery. The pathophysiological mechanisms are poorly understood and the treatment of this syndrome is challenging.Patient ConcernsNew-onset postsurgical late dumping syndrome after Toupet fundoplication.DiagnosesSigstad Score, OGTT, CGM.InterventionsDaily subcutaneous injection of liraglutide (0.6 mg and 1.2 mg).OutcomesReduction in fasting and postprandial peak insulin level with improvement in symptomatic hypoglycemic events.LessonsLiraglutide may be a novel treatment option for postprandial hyperinsulinemic hypoglycemia after gastric surgery.
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