Guidelines for Gastrostomy Tube Placement and Enteral Nutrition in Patients with Severe, Refractory Hypoglycemia after Gastric Bypass

Post-bariatric hypoglycemia (PBH) affects up to 38% of Roux-en-Y gastric bypass (RYGB) patients. Severe cases are refractory to diet and medications. Surgical treatments including bypass reversal and pancreatectomy are highly morbid and hypoglycemia often recurs. We have developed a highly effective method of treatment by which enteral nutrition administered through a gastrostomy (G-) tube placed in the remnant stomach replaces oral diet: if done correctly this reverses hyperinsulinemia and hypoglycemia, yielding substantial health and quality-of-life benefits for severely affected patients.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research