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Are SADI-S and BPD/DS bariatric procedures identical twins or distant relatives...

Guimarães, M; Pereira, AM; Pereira, SS; Almeida, R; Lobato, CB; Hartmann, B; Holst, JJ; Nora, M; Monteiro, M

Given the common anatomical features and similar short-term weight loss outcomes, Biliopancreatic Diversion with Duodenal Switch (BPD/DS) and Single-Anastomosis Duodenoileal bypass with Sleeve gastrectomy (SADI-S) are considered identical bariatric procedures, apart from technical complexity being lower for SADI-S. In the absence of prospective randomized trials or long-term comparative studies the rationale fo...


A Potential Role for Endogenous Glucagon in Preventing Post-Bariatric Hypoglycemia

Lobato, CB; Pereira, SS; Guimarães, M; Hartmann, B; Wewer Albrechtsen, NJ; Hilsted, L; Holst, JJ; Nora, M; Monteiro, MP

Obesity and obesity-related diseases are major public health concerns that have been exponentially growing in the last decades. Bariatric surgery is an effective long-term treatment to achieve weight loss and obesity comorbidity remission. Post-bariatric hypoglycemia (PBH) is a late complication of bariatric surgery most commonly reported after Roux-en-Y gastric bypass (RYGB). PBH is the end result of postprand...


Use of flash glucose monitoring for post-bariatric hypoglycaemia diagnosis and ...

Lobato, CB; Pereira, SS; Guimarães, M; Morais, T; Oliveira, P; de Carvalho, JPM; Nora, M; Monteiro, MP

Our aim was to assess the potential of flash glucose monitoring (FGM) for diagnostic workup of suspected post-bariatric hypoglycaemia (PBH). Patients (N = 13) with suspected PBH underwent a food and symptoms diary (FSD) record along with FGM over 14 days. Targeted data analysis confirmed the occurrence of low glucose events in parallel to meal-triggered symptoms. Glycaemic variability, as assessed by Mean Absol...


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