Obesity Surgery

, 17:698

Symptomatic Hypoglycemia Complicating Pregnancy Following Roux-en-Y Gastric Bypass Surgery

  • Joseph R. Wax
  • Deirdre Heersink
  • Michael G. Pinette
  • Angelina Cartin
  • Jacquelyn Blackstone
Case Report

DOI: 10.1007/s11695-007-9121-3

Cite this article as:
Wax, J.R., Heersink, D., Pinette, M.G. et al. OBES SURG (2007) 17: 698. doi:10.1007/s11695-007-9121-3

Symptomatic hypoglycemia is a known consequence of gastric bypass surgery, which is being performed with increased frequency in reproductive-aged women. A 36-year old woman presented at 24 weeks–gestation, 39 months following Roux-en-Y gastric bypass (RYGBP), with new onset symptomatic hypoglycemia. Lightheadedness and syncope coinciding with postprandial glucose levels of 34–7 mg/dL responded to dietary modifications. Following RYGBP physiologic changes of pregnancy may precipitate clinically significant hypoglycemia in the previously asymptomatic patient.

Key words

Morbid obesitybariatric surgeryRoux-en-Y gastric bypasspregnancyhypoglycemiadumping syndrome

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Joseph R. Wax
    • 1
    • 2
  • Deirdre Heersink
    • 1
  • Michael G. Pinette
    • 1
  • Angelina Cartin
    • 1
  • Jacquelyn Blackstone
    • 1
  1. 1.Division of Maternal-Fetal Medicine, Department of Obstetrics and GynecologyMaine Medical CenterPortlandUSA
  2. 2.PortlandUSA