scholarly journals A Case Report of Hypoglycemia Due to Late Dumping Syndrome After Jejunostomy Tube Insertion

Cureus ◽  
2020 ◽  
Author(s):  
Usamah Elalem ◽  
Abdulraof Almahfouz ◽  
Abdulrahman Alfadhel ◽  
Abdulaziz Almohamedi ◽  
Ibrahim Bin Ahmed
2004 ◽  
Vol 49 (5) ◽  
pp. 802-804 ◽  
Author(s):  
Chikashi Shibata ◽  
Yuji Funayama ◽  
Kouhei Fukushima ◽  
Ken-Ichi Shiiba ◽  
Iwao Sasaki ◽  
...  

2019 ◽  
Vol 12 (5) ◽  
pp. e228471 ◽  
Author(s):  
Agam Jain ◽  
Aditya Kumar Gupta ◽  
Kana Ram Jat ◽  
Sushil Kumar Kabra

This article presents the case of a 3-month-old male child, who while on bolus jejunostomy tube feeds, developed recurrent episodes of hypoglycaemia. This infant had presented with failure to thrive with moderate gastroesophageal reflux necessitating a feeding jejunostomy. The infant was started on bolus feeds through the jejunostomy tube but developed recurrent episodes of hypoglycaemia. On evaluation, these episodes were hyperinsulinaemic and the baby was subsequently diagnosed with a late dumping syndrome. On changing the feeds to a continuous infusion and by eliminating added sugar from the feeds, the glucose fluctuations resolved. Dumping syndrome is a well-known complication in adults undergoing gastric surgeries. In the paediatric age group, dumping syndrome has been reported rarely, most commonly as a complication of Nissen fundoplication.


2017 ◽  
Vol 5 (10) ◽  
pp. 1608-1611 ◽  
Author(s):  
Alireza Mohammadi ◽  
Raashda A. Sulaiman ◽  
Ashley B. Grossman

Medicine ◽  
2021 ◽  
Vol 100 (21) ◽  
pp. e26086
Author(s):  
Bo Ding ◽  
Yun Hu ◽  
Lu Yuan ◽  
Reng-Na Yan ◽  
Jian-Hua Ma

Author(s):  
Hannah Chesser ◽  
Fatema Abdulhussein ◽  
Alyssa Huang ◽  
Janet Y Lee ◽  
Stephen E Gitelman

Abstract Gastrostomy tubes (G-tubes) and Nissen fundoplication are common surgical treatments for feeding difficulties and gastroesophageal reflux disease in children. A common, yet often missed, complication is dumping syndrome. We present three pediatric patients with post-prandial hypoglycemia due to late dumping syndrome after gastric surgeries. All patients received gastrostomy tubes for feeding intolerance, two had Nissen fundoplication for gastroesophageal reflux disease, and one had tracheoesophageal repair. All patients underwent multiple imaging studies to attempt to diagnose dumping syndrome. Continuous glucose monitoring (CGM) was essential for detecting asymptomatic hypoglycemia and glycemic excursions occurring with feeds that would have gone undetected with point-of-care (POC) blood glucose checks. CGM was also used to monitor the effectiveness of treatment strategies and drove treatment plans. These cases highlight the utility of CGM in diagnosing post-prandial hypoglycemia due to late dumping syndrome, which is infrequently diagnosed by imaging studies and intermittent POC blood glucose measurements.


1998 ◽  
Vol 13 (12) ◽  
pp. 1201-1206 ◽  
Author(s):  
TAKENAO HASEGAWA ◽  
MASASHI YONEDA ◽  
KIMIHIDE NAKAMURA ◽  
KUNIYO OHNISHI ◽  
HIROYUKI HARADA ◽  
...  

Gut ◽  
2010 ◽  
Vol 59 (Suppl 1) ◽  
pp. A170.1-A170
Author(s):  
A M Verma ◽  
J A D Stewart

2019 ◽  
Vol 12 ◽  
pp. 117954761986900
Author(s):  
Mohammed N Bani Hani ◽  
Abdel Rahman Al Manasra ◽  
Hamzeh Daradkah ◽  
Farah Bani Hani ◽  
Zeina Bani Hani

Background: Myiasis refers to the infestation of live human with 2-winged larvae (maggots). Cutaneous myiasis is the most commonly encountered clinical form. It is divided into 3 main forms: furuncular, creeping (migratory), and wound (traumatic) myiasis. Case report: In this article, we report an extremely rare case of myiasis around percutaneous endoscopic gastrostomy (PEG) tube in a 71-year-old female patient. She had the tube placed for feeding purposes, 8 months prior to her presentation. Family noticed alive worms emerging from skin at the gastrostomy tube insertion site. Patient was treated conservatively with daily dressing with no debridement or use of systemic agents. Conclusions: PEG tube cutaneous myiasis is an extremely rare disease. Conservative management with petroleum-based and sterilizing agents is shown to be efficient to clear the disease in a short period of time.


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