Severe post-gastric bypass hypoglycemia in pregnancy. Issue 3 (May 2022)

• Record Type: Journal Article
• Authors: Schiller, Tal; Kirzhner, Alena; Zornitzki, Taiba; Cohen, Lee; Shafran, Yael Winter; Ostrovsky, Viviana; Knobler, Hilla; Vaisbuch, Edi
• Is Part Of: Obesity research & clinical practice. Volume 16:Issue 3(2022)
• Page Start: 272
• Page End: 275
• Publication Date: 2022-05
• Subjects: Hypoglycemia -- Obesity -- Post-bariatric surgery hypoglycemia -- Pregnancy -- Roux-en-Y Gastric Bypass; Obesity -- Research -- Periodicals; Obesity -- Treatment -- Periodicals; Obesity -- Periodicals; Obésité -- Recherche -- Périodiques; Obésité -- Traitement -- Périodiques; Obesity -- Research; Obesity -- Treatment; Electronic journals; Periodicals; 616.398
• DOI: 10.1016/j.orcp.2022.04.003
• Languages: English
• ISSNs: 1871-403X

Abstract

Abstract: Summary: Post-bariatric surgery hypoglycemia (PBH) is a serious and relatively prevalent complication of bariatric surgery and is often underdiagnosed due to unawareness. PBH can have a profound effect on health and quality of life. Data regarding the natural history and management of PBH during pregnancy are lacking. Here we describe a case of a 34-year-old woman who presented with intractable PBH during the second trimester of her third pregnancy, three years after a Roux-en-Y gastric bypass (RYGB). Treatment with nifedipine showed partial response and eventually intravenous (IV) glucose was needed until birth.