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Insulinom som sjælden årsag til svær hypoglykæmi efter gastrisk bypassoperation

Forfattere
Anne Søjbjerg1, Per Løgstrup Poulsen1, Stine Kramer2 & Bjørn Richelsen1 1. Medicinsk Endokrinologisk Afdeling, Aarhus Universitetshospital 2. Nuklearmedicinsk Afdeling og PET-Center, Aarhus Universitets-hospital Ugeskr Læger 2018;180:V04170317
Reference: 
Ugeskr Læger 2018;180:V04170317
Sidetal: 
2-3
Severe hypoglycaemia due to insulinoma after gastric bypass surgery
Postprandial hypoglycaemia with endogenous hyper­insulinaemia is relatively common after gastric bypass (GB) surgery. However, alternative aetiologies of hypoglycaemia should be kept in mind. We report a case of severe hypo­glycaemia in a patient who had previously undergone GB surgery for morbid obesity. Hypoglycaemic episodes differed from typical GB-related hypoglycaemia by occurring during fasting periods. Examination revealed insulinoma, and nine months after resection the patient remained symptom free.

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