Perda insuficiente de peso e ou ausência de remissão da diabete melito tipo 2 após a derivação gástrica em Y-de-Roux: fatores que podem influenciar os resultados insatisfatórios

Costa, Antônio Carlos Silva; Furtado, Mariana Camara Martins Bezerra; Godoy, Eudes Paiva de; Pontes, Elenir Rose Jardim Cury; Tognini, João Ricardo F.; Ivo, Maria Lúcia

doi:10.1590/s0102-67202013000200008

Cited by 3 publications

(2 citation statements)

References 26 publications

(31 reference statements)

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“…Esta paciente tenía cada una de las características de la hipoglicemia posterior a la desviación gástrica a nivel histológico. Se han propuesto diversas hipótesis sobre el motivo de la hiperplasia de las células de los islotes posterior a una desviación gástrica, como la presencia de una alteración hormonal asociada a un nivel elevado de GLP-1 y una reducción de la ghrelina inducida por la pérdida acelerada de peso, así como de una elevación en los niveles de insulina (11) .…”

Section: Discussionunclassified

Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)

Miranda

2022

Horizmed

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La hipoglucemia posterior la desviación gástrica se caracteriza por hipoglucemia posprandial con hipertrofia de las células de los islotes pancreáticos en pacientes tras someterse a una cirugía bariátrica, en quienes la EHGNA, la obesidad y la secreción alterada de la insulina y del glucagón pueden predisponerlos a presentar hipoglucemia. Se presenta el caso de una paciente de 44 años con obesidad y EHGNA sometida a una desviación gástrica en Y de Roux, quien años después presentó hipoglucemia severa. Fue diagnosticada de hipoglicemia por hiperinsulinismo endógeno con histología de hiperplasia de células beta. La hipoglicemia posterior a una desviación gástrica es un escenario que se afrontará más a menudo, por tal razón, es importante tenerla en cuenta para un tratamiento oportuno.

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Section: Discussionunclassified

Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)

Miranda

2022

Horizmed

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“…To date, bariatric surgery has shown the best results in weight loss and maintenance of this loss in long follow-up 6 , 11 . Greater part of the population undergoing the surgical procedure also experience full or partial remission of comorbidities related to obesity, such as type 2 diabetes mellitus, hypertension and dislipidemia 3 , 4 , 6 .…”

Section: Introductionmentioning

confidence: 99%

Proposal of a Revisional Surgery to Treat Non-Insulinoma Hyperinsulinemic Hypoglicemia Postgastric Bypass

Sampaio-Neto

Branco-Filho

Nassif

et al. 2015

ABCD, arq. bras. cir. dig.

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Background : Hyperinsulinemic hypoglicemia with severe neuroglycopenic symptoms has been identified as a late and rare complication in patients submitted to Roux-en-Y gastric bypass. However, the potential gravity of its manifestations requires effective treatment of this condition. The absence of treatment makes it necessary to develop more effective clinical or surgical methods. Aim : To present one surgical option to revisional surgery in the treatment of hyperinsulinemic hypoglicemia Methods : The procedure consists in reconstituting alimentary transit through the duodenum and proximal jejunum, while keeping the restrictive part of the gastric bypass. As an additional strategy to maintain weight loss, is realized gastric fundus resection, aiming to suppress ghrelin production more effectively. Results : It was used in three patients with successful results in one year of follow-up. Conclusion : The procedure to reconstruct the food transit through the duodenum and proximal jejunum, keeping the restrictive component of gastric bypass in the treatment of hyperinsulinemic hypoglycemia showed good initial results and validated its application in other cases with this indication.

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One anastomosis gastric bypass vs. Roux-en-Y gastric bypass: a 5-year follow-up prospective randomized trial

Level

Rojas

Piñango

et al. 2020

Langenbecks Arch Surg

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Perda insuficiente de peso e ou ausência de remissão da diabete melito tipo 2 após a derivação gástrica em Y-de-Roux: fatores que podem influenciar os resultados insatisfatórios

Abstract: Patients with elevated initial maximum BMI (≥ 50kg/m2) displayed higher weight loss failure rates. Food intolerance and socioeconomic differences are considered factors in weight gain.

Cited by 3 publications

References 26 publications

Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)

Caso de hipoglicemia severa posterior a desviación gástrica en una mujer con enfermedad por esteatosis hepática no alcohólica (EHGNA)

Proposal of a Revisional Surgery to Treat Non-Insulinoma Hyperinsulinemic Hypoglicemia Postgastric Bypass

One anastomosis gastric bypass vs. Roux-en-Y gastric bypass: a 5-year follow-up prospective randomized trial

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