Post-gastric bypass hyperinsulinism with nesidioblastosis: Subtotal or total pancreatectomy may be needed to prevent recurrent hypoglycemia

@article{Clancy2006PostgastricBH,
  title={Post-gastric bypass hyperinsulinism with nesidioblastosis: Subtotal or total pancreatectomy may be needed to prevent recurrent hypoglycemia},
  author={Thomas E. Clancy and Francis D. Moore and M. J. Zinner},
  journal={Journal of Gastrointestinal Surgery},
  year={2006},
  volume={10},
  pages={1116-1119}
}
Symptomatic hyperinsulinemic hypoglycemia and pancreatic nesidioblastosis have recently been described in a small series of patients after gastric bypass surgery for morbid obesity. In the limited published reports of patients with this condition, hyperinsulinism and nesidioblastosis have been managed with distal or subtotal pancreatectomy, with the extent of resection guided by calcium angiography. However, nesidioblastosis may involve the pancreas diffusely, and limited pancreatic resections… CONTINUE READING
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