FEATUREHypoglycemia-Like Symptoms After Restorative Proctocolectomy for UC A Preliminary StudyTanaka, Makoto PhD, RN, PHN; Murakami, Yoshie PhD, RN; Fukushima, Tsuneo PhD, MD; Kazuma, Keiko PhD, RN, PHNAuthor Information Makoto Tanaka, PhD, RN, PHN, is Research Associate, Department of Adult Nursing/Palliative Care Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Yoshie Murakami, PhD, RN, is Associate Professor, Adult Nursing, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan. Tsuneo Fukushima, PhD, MD, is Gastroenterologist, Matsushima Clinic, Yokohama, Japan. Keiko Kazuma, PhD, RN, PHN, is Professor, Department of Adult Nursing/Palliative Care Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Correspondence to: Makoto Tanaka, PhD, RN, PHN, Department of Adult Nursing/Palliative Care Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113–0033 Japan (e-mail: [email protected]). Received February 3, 2008; accepted September 17, 2008. Gastroenterology Nursing: September 2009 - Volume 32 - Issue 5 - p 352-359 doi: 10.1097/SGA.0b013e3181b85f77 Buy Metrics Abstract This study was conducted to explore the hypoglycemia-like symptoms sometimes noted after proctocolectomy for ulcerative colitis. Eighty-three patients who underwent restorative proctocolectomy at least 1 year before December 2001 (staged procedure, n = 50; one-staged procedure, n = 33) were requested to answer three questionnaires at the stage of temporary diverting ileostomy and/or after completion of the operation (after stoma closure). The questionnaires evaluated the presence of 18 items of hypoglycemia-like symptoms, subject recognition of the cause, and whether the symptoms were improved after eating or drinking. Seven subjects (14%) experienced at least one of the three items considered to be specific symptoms of hypoglycemia (“cold sweats,” “trembling of hands,” and “extreme desire for sweets”) at the stage of temporary ileostomy. Ten (20%) and 9 (27.3%) subjects experienced those specific symptoms at the stage after completion of the operation by staged procedure and by one-staged procedure, respectively. There was no significant difference between the stages. Hypoglycemia-like symptoms were found to be experienced in a considerable number of patients after proctocolectomy for ulcerative colitis. © The Society of Gastroenterology Nurses & Associates 2009. All Rights Reserved.