Continuous glucose monitoring for suspected dumping syndrome in infants after Nissen fundoplication

2013 ◽  
Vol 55 (6) ◽  
pp. 782-785 ◽  
Author(s):  
Kazutoshi Ueda ◽  
Hiroshi Mizumoto ◽  
Hirofumi Shibata ◽  
Yuya Miyauchi ◽  
Masahito Sato ◽  
...  
Keyword(s):  
Continuous Glucose Monitoring ◽  
Nissen Fundoplication ◽  
Glucose Monitoring ◽  
Dumping Syndrome

scholarly journals Continuous glucose monitoring to diagnose hypoglycemia due to late dumping syndrome in children after gastric surgeries

2021 ◽  
Author(s):  
Hannah Chesser ◽  
Fatema Abdulhussein ◽  
Alyssa Huang ◽  
Janet Y Lee ◽  
Stephen E Gitelman
Keyword(s):  
Blood Glucose ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Nissen Fundoplication ◽  
Glucose Monitoring ◽  
Dumping Syndrome ◽  
Imaging Studies ◽  
Late Dumping Syndrome ◽  
Gastrostomy Tubes

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.

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