Bariatric procedures have been shown to decrease mortality in patients with obesity and even induce remission of type 2 diabetes, hypertension, hyperlipidemia, and obstructive sleep apnea. One common complication of bariatric surgery is hypoglycemia, which can be observed months to years later and can significantly impact patient lifestyle. No medications are currently approved for this indication. In this article, we discuss the treatment options available and being studied for post-bariatric surgery hypoglycemia (PBH).
{"title":"Hypoglycemia after bariatric surgery: Management updates.","authors":"Anira Iqbal, Vinni Makin","doi":"10.3949/ccjm.92a.24033","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24033","url":null,"abstract":"<p><p>Bariatric procedures have been shown to decrease mortality in patients with obesity and even induce remission of type 2 diabetes, hypertension, hyperlipidemia, and obstructive sleep apnea. One common complication of bariatric surgery is hypoglycemia, which can be observed months to years later and can significantly impact patient lifestyle. No medications are currently approved for this indication. In this article, we discuss the treatment options available and being studied for post-bariatric surgery hypoglycemia (PBH).</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"103-108"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treating the thyroid: Trust the feedback loop.","authors":"Brian F Mandell","doi":"10.3949/ccjm.92b.02025","DOIUrl":"https://doi.org/10.3949/ccjm.92b.02025","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"71-72"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany Jackson, Sabrina Billings, Dana M Harris, Jane Hata, Mary S Hedges
{"title":"Which patients with presumed acute infectious diarrhea in an outpatient setting should undergo gastrointestinal pathogen panel testing?","authors":"Brittany Jackson, Sabrina Billings, Dana M Harris, Jane Hata, Mary S Hedges","doi":"10.3949/ccjm.92a.24084","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24084","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"83-86"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The presentation of pericardial disease can be unusual, and what is assumed to be pericardial disease may not be. Knowing pericardial and mediastinal anatomy is vital for understanding these unusual presentations. This review focuses on the history, physical examination, and fundamental diagnostic testing, integrated with pericardial and mediastinal anatomy and pathophysiology.
{"title":"Don't judge a book by its cover: Unusual presentations of pericardial disease.","authors":"William A Schiavone, David S Majdalany","doi":"10.3949/ccjm.92a.24065","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24065","url":null,"abstract":"<p><p>The presentation of pericardial disease can be unusual, and what is assumed to be pericardial disease may not be. Knowing pericardial and mediastinal anatomy is vital for understanding these unusual presentations. This review focuses on the history, physical examination, and fundamental diagnostic testing, integrated with pericardial and mediastinal anatomy and pathophysiology.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"109-116"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An unknown number of people are born with single or multiple accessory electrical pathways between the atria and the ventricles. Although most people who have an accessory pathway never experience any problems, some show characteristic abnormalities on surface electrocardiography (the Wolff-Parkinson-White [WPW] pattern), and a minority of those with the WPW pattern experience symptoms such as palpitations, dizziness, shortness of breath, and presyncope-the WPW syndrome. The latter has the potential to lead to malignant tachyarrhythmias and even sudden cardiac death. Thus, it is imperative to detect the WPW electrocardiographic pattern, diagnose WPW syndrome early, and adequately risk stratify those at risk for serious complications.
{"title":"Wolff-Parkinson-White syndrome: Diagnostic and management strategies.","authors":"Masihullah Barat, David Torres Barba, Gordon Ho","doi":"10.3949/ccjm.92a.24059","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24059","url":null,"abstract":"<p><p>An unknown number of people are born with single or multiple accessory electrical pathways between the atria and the ventricles. Although most people who have an accessory pathway never experience any problems, some show characteristic abnormalities on surface electrocardiography (the Wolff-Parkinson-White [WPW] pattern), and a minority of those with the WPW pattern experience symptoms such as palpitations, dizziness, shortness of breath, and presyncope-the WPW syndrome. The latter has the potential to lead to malignant tachyarrhythmias and even sudden cardiac death. Thus, it is imperative to detect the WPW electrocardiographic pattern, diagnose WPW syndrome early, and adequately risk stratify those at risk for serious complications.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"119-127"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Our Peer-Reviewers for 2024.","authors":"Brian F Mandell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"79"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thyroid obstacle course: Many challenges from a single gland.","authors":"Timothy W Bodnar, Sima Saberi","doi":"10.3949/ccjm.92a.24076","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24076","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 2","pages":"87-93"},"PeriodicalIF":3.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sleep is like Rodney Dangerfield.","authors":"Brian F Mandell","doi":"10.3949/ccjm.92b.01025","DOIUrl":"https://doi.org/10.3949/ccjm.92b.01025","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 1","pages":"9-10"},"PeriodicalIF":3.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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