Case Report

BYPASS-OMA: Hypoglycemic Hyperinsulinemic Nesidioblastosis after Gastric Bypass Surgery—A Case Report and Review of the Literature

Table 2

Serologic exclusion of causes for hypoglycemia.

LabValueReference

Insulin autoantibody (U/mL)<0.4<0.4
Sulfonylurea screenNegativeN/A
ACTH/cortrosyn stimulation (ug/dL)1 hour cortisol 19.6>20 ug/dL
Chromogranin A (ng/mL)8225–140
Transglutaminase IgG Abs (U/mL)0.5<1
Transglutaminase IgA Abs (U/mL)0.5<1
Gliadin peptide Ag IgG (U)2<20
Gliadin peptide Ag IgA (U)3<20