Society for Endocrinology guidelines for the diagnosis and management of post-bariatric hypoglycaemia.

IF 2.6 3区医学 Q3 ENDOCRINOLOGY & METABOLISM

Endocrine Connections Pub Date : 2024-05-01 Epub Date: 2024-04-01 DOI:10.1530/EC-23-0285

Jonathan Hazlehurst, Bernard Khoo, Carolina Brito Lobato, Ibiyemi Ilesanmi, Sally Abbott, Tin Chan, Sanesh Pillai, Kate Maslin, Sanjay Purkayastha, Barbara McGowan, Rob Andrews, Tricia M-M Tan

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引用次数: 0

Abstract

Post bariatric hypoglycaemia (PBH) is typically a post-prandial hypoglycaemia occurring about 2-4 hours after eating in people who have undergone bariatric surgery. PBH develops relatively late after surgery and often after discharge from post-surgical follow-up by bariatric teams, leading to variability in diagnosis and management in non-specialist centres.

Aim: to improve and standardise clinical practice in the diagnosis and management of PBH.

Objectives: (1) to undertake an up-to-date review of the current literature; (2) to formulate practical and evidence-based guidance with regards on the diagnosis and treatment of PBH; (3) to recommend future avenues for research in this condition.

Method: A scoping review was undertaken after an extensive literature search. A consensus on the guidance and confidence in the recommendations was reached by the steering group authors prior to review by key stakeholders.

Outcome: We make pragmatic recommendations for the practical diagnosis and management of PBH including criteria for diagnosis and recognition, as well as recommendations for research areas that should be explored.

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内分泌学会（SfE）关于减肥后低血糖诊断和管理的指南。

减肥术后低血糖症（PBH）通常是指接受减肥手术的患者在进食后约 2-4 小时出现的餐后低血糖症。目标：（1）对当前文献进行最新综述；（2）就 PBH 的诊断和治疗制定实用的循证指南；（3）就该病症的未来研究方向提出建议：方法：在进行了广泛的文献检索后，进行了范围界定审查。方法：在进行了广泛的文献检索后，进行了范围界定审查，指导小组的作者们就指导意见和对建议的信心达成了共识，然后由主要利益相关者进行审查：我们为 PBH 的实际诊断和管理提出了务实的建议，包括诊断和识别标准，以及应探索的研究领域的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrine Connections Medicine-Internal Medicine

CiteScore

5.00

自引率

3.40%

发文量

361

审稿时长

6 weeks

期刊介绍： Endocrine Connections publishes original quality research and reviews in all areas of endocrinology, including papers that deal with non-classical tissues as source or targets of hormones and endocrine papers that have relevance to endocrine-related and intersecting disciplines and the wider biomedical community.