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Obesity Surgery
Published in: Obesity Surgery 6/2021

Open Access 01-06-2021 | Bariatric Surgery | Letter to the Editor

Immediate Euglycemic Diabetic Ketoacidosis After Gastric Bypass in a Patient with Type II Diabetes

Authors: Yu-Ting Lo, Kai-Hua Chen, Po-Chih Chang

Published in: Obesity Surgery | Issue 6/2021

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Excerpt

Bariatric surgery has been proven to be an effective solution for morbid obesity with type 2 diabetes mellitus (T2DM), and such patients usually receive oral hypoglycemia agents or insulin for blood sugar control prior to surgery [1]. Though the occurrence of euglycemic diabetic ketoacidosis (DKA) is not clinically infrequent especially for those on treatment with sodium-glucose cotransporter 2 (SGLT2) inhibitor, reports of DKA after bariatric surgery are limited and most of the available reports discussed type I diabetes [1‐3]. …
Literature
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Aminian A, Kashyap SR, Burguera B, et al. Incidence and clinical features of diabetic ketoacidosis after bariatric and metabolic surgery. Diabetes Care. 2016;39(4):e50–3.CrossRef
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Rizo IM, Apovian CM. Diabetic ketoacidosis post bariatric surgery. Front Endocrinol (Lausanne). 2018;9:812.CrossRef
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Plewa MC, Bryant M, King-Thiele R. Euglycemic diabetic ketoacidosis. 2020 Apr 30. In: StatPearls. Treasure Island: StatPearls Publishing; 2020.
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Peters AL, Buschur EO, Buse JB, et al. Euglycemic diabetic ketoacidosis: a potential complication of treatment with sodium-glucose cotransporter 2 inhibition. Diabetes Care. 2015;38(9):1687–93.CrossRef
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Thiruvenkatarajan V, Meyer EJ, Nanjappa N, et al. Perioperative diabetic ketoacidosis associated with sodium-glucose co-transporter-2 inhibitors: a systematic review. Br J Anaesth. 2019;123(1):27–36.CrossRef
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Cipriano A, Rebelos E, Park N, et al. Moderate increase of serum levels of procalcitonin in diabetic ketoacidosis. Neth J Med. 2018;76(10):454.PubMed
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Metadata
Title
Immediate Euglycemic Diabetic Ketoacidosis After Gastric Bypass in a Patient with Type II Diabetes
Authors
Yu-Ting Lo
Kai-Hua Chen
Po-Chih Chang
Publication date
01-06-2021
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05263-7

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