ReviewCurrent opinion in endocrinology, diabetes, and obesity2011
Hypoglycemia complicating bariatric surgery: incidence and mechanisms.
Review in Current opinion in endocrinology, diabetes, and obesity, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of metabolic surgery on type 1 diabetes: meta-analysis.Archives of endocrinology and metabolismPooled it
- Effect of alcohol ingestion on plasma glucose kinetics after Roux-en-Y gastric bypass surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019Trial
- Incidence and Predictors of Hypoglycemia 1 Year After Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2017Trial
- Effect of carbohydrate restriction in patients with hyperinsulinemic hypoglycemia after Roux-en-Y gastric bypass.Obesity surgery · 2014Trial
- Post-Bariatric Hypoglycemia: Diagnosis, Mechanisms and Management-A Case Report-Based Review.Journal of clinical medicine · 2026Review
- Post-bariatric Hypoglycemia Management: A Gulf Cooperation Council Consensus Statement.Journal of the Endocrine Society · 2026Article
- Ketotic Hypoglycaemia Following Sleeve Gastrectomy.Clinical endocrinology · 2025Article
- Adverse Health Outcomes Associated with Hypoglycemia Following Bariatric Surgery.Metabolic syndrome and related disorders · 2025Article
- Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management.Reviews in endocrine & metabolic disorders · 2020Review
- Robotic pancreas transplantation in a type 1 diabetic patient with morbid obesity: A case report.Medicine · 2017Article
- [Conversional and endoscopic procedures following bariatric surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Review
- Loop Duodenojejunal Bypass with Sleeve Gastrectomy: Comparative Study with Roux-en-Y Gastric Bypass in Type 2 Diabetic Patients with a BMI <35 kg/m(2), First Year Results.Obesity surgery · 2016Article
- Adverse effects during the oral glucose tolerance test in post-bariatric surgery patients.Archives of endocrinology and metabolism · 2016Article
- Post-Gastric Bypass Hypoglycemia.Current diabetes reports · 2016Review
- FROM COMPLEX EVOLVING TO SIMPLE: CURRENT REVISIONAL AND ENDOSCOPIC PROCEDURES FOLLOWING BARIATRIC SURGERY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2016Article
- Nutritional and Protein Deficiencies in the Short Term following Both Gastric Bypass and Gastric Banding.PloS one · 2016Article
- A novel technique of Roux-en-Y gastric bypass reversal for postprandial hyperinsulinemic hypoglycaemia: A case report.International journal of surgery case reports · 2016Article
- The Diagnosis and Management of Hyperinsulinaemic Hypoglycaemia.Journal of clinical research in pediatric endocrinology · 2015Review
- GLP1 and glucagon co-secreting pancreatic neuroendocrine tumor presenting as hypoglycemia after gastric bypass.Endocrinology, diabetes & metabolism case reports · 2015Article
- Laparoscopic sleeve gastrectomy for morbid obesity and glucose metabolism: a new perspective.Surgical endoscopy · 2014Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
purpose of reviewTo discuss the clinical scope and frequency of hypoglycemia following bariatric surgery, and possible mechanisms mediating this potentially life-threatening complication. RECENT
findingsConsequent to the rise in severe obesity, bariatric surgery is being performed with ever increasing frequency. Although data continue to accumulate supporting the myriad metabolic and other health benefits of bariatric surgery, there are also concerns regarding the mounting reports of severe hypoglycemia. The problem is particularly significant following gastric bypass, with the first concerns raised in 2005 following a case series reported from the Mayo Clinic. A Swedish nationwide cohort study recently estimated the frequency of this complication suggesting it was less than 1%. Hypotheses regarding the mechanism(s) by which hypoglycemia arise following gastric bypass range from beta cell expansion to altered beta cell function as well as nonbeta cell factors. SUMMARY: Regardless of the incidence, the severity of hypoglycemia for select patients following gastric bypass necessitates that we strive to gain a better understanding of the underlying mechanisms. With such knowledge, those patients at greater risk for this complication might be identified preoperatively, and decisions regarding their surgical management optimized to reduce this risk.
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