What is it about?
Postprandial hyperinsulinemic hypoglycemia (PHH) is an increasingly recognized complication of gastric bypass surgery in obese adults, distinct from the “dumping syndrome”. This is the first described case of a child with PHH following esophageal reconstruction, explaining undertaken treatment with acarbose titrated using flash glucose monitoring, which resulted in satisfactory glucose regulation.
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Why is it important?
This is the first case of a child with PHH following esophageal reconstruction, which responded well to the use of acarbose with dietary modifications. This report also demonstrated the benefits of using the CGM/FGM in the diagnosis and treatment of hypoglycemia.
Perspectives
Bearing in mind that the more common “dumping syndrome” in children is frequently unrecognized if not screened for, this case also raises the question should children, after gastric surgery other than fundoplasty, also be screened for disturbances in glucose regulation
Rade Vukovic
Read the Original
This page is a summary of: Postprandial hyperinsulinemic hypoglycemia in a child as a late complication of esophageal reconstruction, Journal of Pediatric Endocrinology and Metabolism, January 2017, De Gruyter,
DOI: 10.1515/jpem-2017-0139.
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