TY  - JOUR
T1  - A case of insulinoma confused with dumping syndrome after total gastrectomy
AU  - Mercantepe, Filiz
AU  - Bilen, Arzu
AU  - Bilen, Habib
AU  - Capoglu, Ilyas
PY  - 2022
DA  - May
DO  - 10.28982/josam.993536
JF  - Journal of Surgery and Medicine
JO  - J Surg Med
PB  - Selçuk BAŞAK
WT  - DergiPark
SN  - 2602-2079
SP  - 594
EP  - 596
VL  - 6
IS  - 5
LA  - en
AB  - We present the case of a 70-year-old female patient with persistent hypoglycemia after total gastrectomy due to gastrointestinal stromal tumors. She was thought to have late dumping syndrome but was diagnosed with insulinoma after further examination. Dumping syndrome is mainly seen after stomach or esophageal surgery. It is divided into early dumping and late dumping syndrome. Late dumping syndrome is initially manifested by an exaggerated insulin response and reactive hypoglycemia after glucagon-like peptide-1 release. Diagnosis is based on clinical findings. Treatment mainly consists of reducing carbohydrate intake and not ingesting solid and liquid foods together. In cases where diet alone is not sufficient, acarbose, an α-glucosidase inhibitor that slows the digestion of carbohydrates, may be beneficial for late dumping. Octreotide can be used in resistant cases. However, the diagnosis of insulinoma, which leads to a similar clinical presentation in resistant dumping cases, should be kept in mind. Our patient who showed clinical signs of dumping syndrome after gastrectomy, and treatment-resistant hypoglycemia was diagnosed with insulinoma on the basis of further investigations. The patient’s symptoms resolved after surgery for insulinoma.
KW  - Dumping syndrome
KW  - Gastrectomy
KW  - Hypoglycemia
KW  - Insulinoma
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UR  - https://doi.org/10.28982/josam.993536
L1  - https://dergipark.org.tr/tr/download/article-file/1966965
ER  -