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...
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Veröffentlicht in: | Gaceta médica de México 2005-03, Vol.141 (2), p.157 |
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creator | 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 |
description | 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. |
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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. 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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. 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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.</abstract><cop>Mexico</cop><pmid>15892465</pmid></addata></record> |
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subjects | 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 |
title | Proximal pancreatectomy in a case of nesidioblastosis |
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