[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, 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.
Flores-Alvarado
Luis Javier
LJ
Laboratorio de Bioquímica, Departamento de Fisiología, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. drljfiores@hotmail.com
Sánchez-Enríquez
Sergio
S
Moreno
Abraham Zepeda
AZ
Ramírez-Garcial
Sergio Alberto
SA
Bueno-Topete
Miriam Ruth
MR
Ayub-Ayala
Mónica
M
del Vázquez-López
Lucía Sagrario
LS
Gallardo-Meza
Antonio
A
Nuño-Moren
Patricia
P
Gaspar-Barba
César Enrique
CE
D003940:Diagnostic Techniques, Endocrine; D006801:Humans; D006946:Hyperinsulinism / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007223:Infant; D008297:Male; D046768:Nesidioblastosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy / Q000379:methods; D016896:Treatment Outcome