TY - JOUR A2 - Frindik，J·保罗·AU - Hepprich，马蒂亚斯AU - 安特维，夸杜沃AU - WASER，比阿特丽斯AU - Reubi，让·克洛德·AU - 野，达米安AU - 基督，伊曼纽尔R. PY - 2020 DA - 2020 /04/04 TI - Brunner’s Gland Hyperplasia in a Patient after Roux-Y Gastric Bypass: An Important Pitfall in GLP-1 Receptor Imaging SP - 4510910 VL - 2020 AB - Severe cases of postprandial hypoglycaemia after bariatric surgery can be a diagnostic and therapeutic challenge. The diagnostic role of⁶⁸GA-DOTA-的Exendin-4 PET / CT在用于进一步处理的决定postbariatric低血糖是不清楚。We present a case of a 50-year-old woman with frequent and severe postprandial hypoglycaemic (≤2.5 mmol/L) episodes starting three years after Roux-Y gastric bypass. Despite strict dietary adherence and several medical therapies, the patient remained severely affected, and⁶⁸GA-DOTA-的Exendin-4 PET / CT进行以排除胰岛素瘤或胰岛细胞增殖症的非典型介绍。无胰腺异常发现，但被检测到十二指肠的第一和第二部分密集示踪剂累积，这被证明是增生性布伦纳的组织学上腺和呈强阳性的胰高血糖素样肽-1受体。这种情况下，提供了组织病理学检验十二指肠⁶⁸GA-DOTA-的Exendin-4的吸收是通过布伦纳的腺体和点摄取减肥手术和布伦纳的腺体之间的潜在关系引起的。SN - 2090-6501 UR - https://doi.org/10.1155/2020/4510910 DO - 10.1155 /四百五十一万○九百十分之二千○二十○JF - 病例报告内分泌PB - Hindawi出版KW - ER -