engleski

Congenital hyperinsulinism- surgical treatment and complications

Congenital hyperinsulinism is a common cause of persistent hypoglycaemia in neonates. Cases resistant to medicamentous therapy require surgical treatment, where the greatest challenge is to differentiate focal from diffuse forms of the disease and to localize the focal lesion. PET-scan, selective arterial stimulation and venous sampling and intraoperative frozen sections examination are used to determine the type. We report a case of 6-month old boy with focal form of CHI with special emphasis on surgical complications of pancreas resection together with their management. Surgical procedures on the pancreas are rare in childhood, but when needed, careful planning, capability to solve possible complications and multidisciplinary management is obligatory to achieve success.

Congenital hyperinsulinism; surgical teratment; complications

Eur Surg 2010 ; 42 Suppl 235:51