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Organic brain dysfunction as a possible consequence of postgastrectomy hypoglycemia

Published Online:https://doi.org/10.1176/ajp.132.12.1321

Unlike the fasting hypoglycemias, the reactive hypoglycemias, including postgastrectomy hypoglycemia, are generally not believed to result in serious neuropsychiatric dysfunction. The authors describe two patients with progressive mental deterioration and alimentary hypoglycemia and suggest that clinicians should recognize the possibility of serious neuropsychiatric sequelae of postgastrectomy hypoglycemia.

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