Proximal pancreatectomy in a case of nesidioblastosis

A 19 moth-old child who presented seizures secondary to intractable hypoglycemia, fulfilling the clinical and biochemical criteria for hyperinsulinism was studied. Histopathological findings of the pancreas showed the presence of small clusters of b cell islets throughout acinar tissue near ducts, i...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Gaceta médica de México 2005-03, Vol.141 (2), p.157
Hauptverfasser:	Flores-Alvarado, Luis Javier, Enríquez, Sergio Sánchez, Moreno, Abraham Zepeda, Ramírez-Garcial, Sergio Alberto, Bueno-Topete, Miriam Ruth, Ayub-Ayala, Mónica, del Vázquez-López, Lucía Sagrario, Gallardo-Meza, Antonio, Nuño-Moren, Patricia, Gaspar-Barba, César Enrique
Format:	Artikel
Sprache:	spa
Schlagworte:	Diagnostic Techniques, Endocrine Humans Hyperinsulinism - diagnosis Hyperinsulinism - etiology Hyperinsulinism - surgery Hypoglycemia - diagnosis Hypoglycemia - etiology Hypoglycemia - surgery Infant Male Nesidioblastosis - complications Nesidioblastosis - pathology Nesidioblastosis - surgery Pancreas - pathology Pancreas - surgery Pancreatectomy - methods Treatment Outcome
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	A 19 moth-old child who presented seizures secondary to intractable hypoglycemia, fulfilling the clinical and biochemical criteria for hyperinsulinism was studied. Histopathological findings of the pancreas showed the presence of small clusters of b cell islets throughout acinar tissue near ducts, in both the head and the proximal third of the body. Proximal pancreatectomy (60%) and distal pancreatic-jejunostomy (Roux-in-Y) were performed. This procedure was effective in reverting hypoglycemia and constitutes the first successful alternative treatment.
ISSN:	0016-3813