title: [Hypoglycaemia after gastric bypass is a challenge to diagnostic procedures and treatment].
abstract: Treatment of severe obesity by Roux-en-Y gastric bypass (RYGB) causes sustained weight losses and improves health complica-tions. RYGB is, however, also associated with adverse effects. Dumping is a well-known complication causing invalidating symptoms, and lately there have been mounting concerns about post-RYGB hypoglycaemia. This condition is characterized by neuroglycopenia and inappropriately elevated insulin concentration. The mechanism behind this hypoglycaemia is not completely elucidated. Diagnostic procedures and treatment possibilities are discussed in this article.
authors.affiliation: Medicinsk Endokrinologisk Afdeling, -Aarhus Universitetshospital, Tage-Hansens Gade 2, 8000 Aarhus C. joanni@rm.dk.
authors.forename: Joan Bach
authors.initials: JB
authors.lastname: Nielsen
authors.forename: Sigrid Bjerge
authors.initials: SB
authors.lastname: Gribsholt
authors.forename: Michael Høgild
authors.initials: MH
authors.lastname: Pedersen
authors.forename: Bjørn
authors.initials: B
authors.lastname: Richelsen
mesh_terms: D001786:Blood Glucose; D004377:Dumping Syndrome / Q000209:etiology; D015390:Gastric Bypass / Q000009:adverse effects*; D052216:Glucagon-Like Peptide 1 / Q000097:blood; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D007328:Insulin / Q000097:blood; D009765:Obesity / Q000601:surgery
chemical_list: D001786:Blood Glucose; D007328:Insulin; D052216:Glucagon-Like Peptide 1