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Hans de Boer
21Publications
9H-index
199Citations
Publications 21
Newest
#1Louise HendrikxH-Index: 1
#2Hans BrandtsH-Index: 2
Last.Hans de BoerH-Index: 9
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A 28-year-old female was admitted 2 years after gastric bypass limb distalization because of severe weight loss, fatigue, chronic diarrhea, massive edema, and a serum albumin of 10 g/L without proteinuria. A diagnosis of severe energy and protein malnutrition was made, and enteral tube feeding was started in combination with pancreatic enzyme supplementation every 3 h. Within 24 h after the start of tube feeding, she developed severe hyperammonemia. Tube feeding was stopped immediately, and this...
1 CitationsSource
#1Carlijn Kuin (WUR: Wageningen University and Research Centre)H-Index: 1
#2Floor den Ouden (WUR: Wageningen University and Research Centre)H-Index: 1
Last.Hans de BoerH-Index: 9
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Background Severe protein malnutrition, with a serum albumin < 25 g/L, is one of the complications that may develop after bariatric surgery. It is associated with increased morbidity and mortality and requires timely diagnosis and appropriate treatment to prevent rapid clinical deterioration. However, evidence-based recommendations for a specific treatment approach are currently not available. The present study describes the efficacy of a newly developed treatment regimen for post-bariatric pati...
1 CitationsSource
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#2Hannah H. R. de Boer (UMCG: University Medical Center Groningen)
Last.Hans de BoerH-Index: 9
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Adequate glucocorticoid replacement in patients with primary or secondary adrenal insufficiency is essential to maintain general well-being. Little is known about the effects of bariatric surgery on glucocorticoid absorption. This study evaluates glucocorticoid absorption before and after bariatric surgery, with assessment of plasma cortisol profiles in five patients receiving glucocorticoid replacement therapy for primary (n = 1) or secondary (n = 4) adrenal insufficiency. One patient underwent...
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#1Wendy SchijnsH-Index: 3
Last.Hans de BoerH-Index: 9
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Introduction Iron deficiency is one of the most common deficiencies that may occur after Roux-en-Y gastric bypass (RYGB). Little is known about the optimal treatment of post-RYGB iron deficiency.
1 CitationsSource
#1Laura N. DedenH-Index: 2
#2Edo O. AartsH-Index: 17
Last.Hans de BoerH-Index: 9
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Background Pharmacokinetic data suggest that the risk of metformin-associated lactic acidosis (MALA) may be increased after Roux-en-Y gastric bypass (RYGB) surgery. The aim of this study was to examine the impact of metformin on plasma lactate levels before and after RYGB surgery.
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#1Jens HomanH-Index: 9
#2Wendy SchijnsH-Index: 3
Last.Hans de BoerH-Index: 9
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Background Vitamin and mineral deficiencies are a major concern after biliopancreatic diversion (BPD) and BPD with duodenal switch (BPD/DS). Evidence-based guidelines how to prevent or how to treat deficiencies in these patients are currently lacking. The aim of the current study is to give an overview of postsurgical deficiencies and how to prevent and treat these deficiencies.
2 CitationsSource
Liraglutide, a glucagon-like peptide-1 (GLP-1) analog, is increasingly used in obese patients with type 2 diabetes mellitus (T2DM) in doses of up to 3.0 mg/day because of its attractive pharmacological profile. It is currently not known how to proceed with this medication during fasting for surgery. Discontinuation is likely to result in hyperglycaemia, while continuation might lead to hypoglycaemia, but, in view of its mode of action, continuation of GLP-1 analogs is likely to be safe. However,...
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Background The duodenal-jejunal bypass liner (DJBL) is an endoscopic treatment for patients with type 2 diabetes mellitus (T2DM) and (morbid) obesity. The aim of the current study was to determine its efficacy and safety profile.
15 CitationsSource
Abstract Background Up to 15% of patients who have undergone Roux-en-Y gastric bypass (RYGB) surgery may eventually develop symptoms of hypoglycemia. Objectives To evaluate the daily life efficacy of a carbohydrate (carb)-restricted dietary advice (CRD) of 6 meals per day with a 30 g carb maximum per meal in patients with documented post-RYGB hypoglycemia. Setting Teaching hospital, the Netherlands. Methods Frequency and severity of hypoglycemic events before and after CRD were assessed retrospe...
6 CitationsSource
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