Roux-en-Y胃空肠吻合术后反复低血糖2例报道  

Hyperinsulinemic hypoglycemia after Roux-en-Y anastomosis:A report on 2 cases

作　　者：郭妍[1] 邹大进[1] 

机构地区：[1]上海长海医院内分泌科,200433

出　　处：《中国糖尿病杂志》2013年第1期80-81,共2页Chinese Journal of Diabetes

摘　　要：接受Roux-en-Y胃空肠吻合术患者2例(术前T2DM及胃溃疡各1例),术后均出现发作性低血糖反应,OGTT显示餐后高胰岛素、C-P分泌及胰腺影像检查未见明显异常,予饮食调整联合α-糖苷酶抑制剂治疗均有效。Two patients （one man with T2DM and another man with gastric ulcer） had postprandial symptoms of neuroglycopenia owing to endogenous hyperinsulinemic hypoglycemia after Roux-errY anastomosis surgery. There was no radiographic evidence of insulinoma. OGTT test showed the augmentation of insulin and C-P secretion. Hypoglycemic symptoms diminished after dietary modification and α-glucosidase inhibitor such as voglibose.

关 键 词：ROUX-EN-Y胃空肠吻合术 低血糖 糖尿病 

分 类 号：R656[医药卫生—外科学]