hyperinsulinemic hypoglycaemia late dumping nesidioblastosis
Conditions
Interventions
None listed
Sponsors
Medisch Centrum Leeuwarden
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients who underwent bariatric surgery between 2008 and 2011 Patients who participated and filled out a questionnary in earlier research Informed Consent
Exclusion criteria
Exclusion criteria: Patients with diabetes mellitus No Informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of hyperinsulinemic hypoglycemia after gastric bypass A serum glucose below 3,3 mmol/L combined with complaints of hypoglydcemia is defined as symptomatic late dumping. A serum glucose below 3,3 mmol/L without complaints is defined as asymptomatic late dumping. A serum glucose above 3,3 mmol/L is defined a no late dumping. An increase in pulse-rate > 10 beats/minute or an increase in hematocrit > 3% before MMTT untill 30 minutes after a meal with complaints of dumping is defined as symptomatic early dumping. An increase in pulse-rate > 10 beats/minute or an increase in hematocrit > 3% before MMTT untill 30 minutes after a meal without complaints of dumping is defined as asymptomatic early dumping. Changes in pulse-rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of the modified Sigstad score for early and late dumping. Descriptive research to the value of Coninuous Glucose Monitoring System in the Mixed Meal Tolerance Test. Determination of the extensiveness a the MMTT can be reduced in a more practical test for diagnosing dumping | — |
Countries
Netherlands
Outcome results
None listed