ometendoОжирение и метаболизмObesity and metabolism2071-87132306-5524Endocrinology Research Centre10.14341/2071-8713-3864ometendo-3864Research ArticleСтатьиArticlesРазвитие гипогликемических состояний после билиопанкреатического шунтирования по поводу морбидного ожирения: клинический случайHypoglycemia episodes after biliopancreatic diversion for morbid obesity: clinical case presentationMazurinaN Vnatalyamazurina@mail.ruOgnevaN A-YashkovY I-TroshinaE A-MelnichenkoG A-201330102013103№3 (2013)4449Copyright © Mazurina N.V., Ogneva N.A., Yashkov Y.I., Troshina E.A., Melnichenko G.A., 20132013Mazurina N.V., Ogneva N.A., Yashkov Y.I., Troshina E.A., Melnichenko G.A.Mazurina N.V., Ogneva N.A., Yashkov Y.I., Troshina E.A., Melnichenko G.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.omet-endojournals.ru/jour/article/view/3864

Изменения углеводного обмена после шунтирующих бариатрических операций связаны c изменением продукции инкретинов – биологически активных веществ, вырабатывающихся в тонком кишечнике в ответ на поступление пищи. Гипогликемические состояния, возникающие после бариатрических вмешательств, зачастую имеют функциональную природу (демпинг-синдром) и могут быть успешно скорректированы путем выполнения диетических рекомендаций. В то же время, описаны многочисленные случаи развития незидиобластоза у пациентов, перенесших гастрошунтирование. В данной статье приводится описание постпрандиальных гипогликемических состояний функционального характера у пациента, перенесшего билиопанкреатическое шунтирование по поводу морбидного ожирения.

Modifications of glucose metabolism are observed after bariatric surgery and are attributed to the increased release of incretins – biologically active gut peptides. Hypoglycemia episodes after bypass operations are mostly of functional origin (dumping syndrome) and can be corrected by dietary recommendations. At the same time multiple cases of nesidioblastosis in patients, who underwent gastric bypass surgery are reported. This article is focused on a clinical case of postprandial hypoglycemia in patient after biliopancreatic diversion for morbid obesity

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The authors declare that there are no conflicts of interest present.