Successful Treatment of Reactive Hypoglycemia Secondary to Late Dumping Syndrome Using Miglitol

被引:12
|
作者
Fujita, Yukari [1 ]
Tamada, Daisuke [1 ]
Kozawa, Junji [1 ,2 ]
Kobayashi, Yoko [1 ]
Sasaki, Shugo [1 ]
Kitamura, Tetsuhiro [1 ]
Yasuda, Tetsuyuki [1 ]
Maeda, Norikazu [1 ]
Otsuki, Michio [1 ]
Okita, Kohei [1 ]
Iwahashi, Hiromi [1 ]
Kaneto, Hideaki [1 ]
Funahashi, Tohru [1 ,3 ]
Imagawa, Akihisa [1 ]
Shimomura, Iichiro [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Metab Med, Suita, Osaka 565, Japan
[2] Osaka Univ, Grad Sch Med, Dept Community Med, Suita, Osaka 565, Japan
[3] Osaka Univ, Grad Sch Med, Dept Metab & Atherosclerosis, Suita, Osaka 565, Japan
关键词
reactive hypoglycemia; dumping syndrome; alpha-glucosidase inhibitor; GLUCAGON-LIKE PEPTIDE-1; ALPHA-GLUCOSIDASE INHIBITOR; SECRETION; CANCER; ACARBOSE; PATIENT; MEAL;
D O I
10.2169/internalmedicine.51.8171
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We herein describe a 59-year-old woman who had undergone a total gastrectomy for gastric carcinoma and suffered from postprandial hypoglycemia characterized by a loss of consciousness and spasms. She was diagnosed with reactive hypoglycemia and treated with nutrition therapy, but the frequency and severity of the hypoglycemic episodes did not decrease. She was subsequently treated successfully with miglitol, an alpha-glucosidase inhibitor (alpha-GI) taken twice a day; other alpha-GIs (acarbose and voglibose) were not effective. In conclusion, the administration of miglitol was effective for preventing reactive hypoglycemia secondary to late dumping syndrome.
引用
收藏
页码:2581 / 2585
页数:5
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