Hypoglycemia surgery: Difference between revisions
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==Overview== | ==Overview== | ||
==Surgery== | ==Surgery== | ||
* Surgical removal of the insulinoma is the treatment of choice. | * Surgical removal of the insulinoma is the treatment of choice:<ref name="pmid1677058">{{cite journal| author=Service FJ, McMahon MM, O'Brien PC, Ballard DJ| title=Functioning insulinoma--incidence, recurrence, and long-term survival of patients: a 60-year study. | journal=Mayo Clin Proc | year= 1991 | volume= 66 | issue= 7 | pages= 711-9 | pmid=1677058 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1677058 }}</ref> | ||
* Enucleation of the insulinoma | * Enucleation of the insulinoma | ||
* Partial distal pancreatectomy | * Partial distal pancreatectomy | ||
* Distal subtotal pancreatectomy is recommended for patients with insulinoma related to MEN1.37 | * Distal subtotal pancreatectomy is recommended for patients with insulinoma related to MEN1.37 | ||
* | * Recurrence is more common in the patients with MEN1. | ||
* Hepatic resection is indicated for the treatment of metastatic liver disease if general condition is good. Resection should be considered only for patients with a limited number of hepatic metastases. | * Hepatic resection is indicated for the treatment of metastatic liver disease if general condition is good. Resection should be considered only for patients with a limited number of hepatic metastases. | ||
Revision as of 14:45, 17 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
- Surgical removal of the insulinoma is the treatment of choice:[1]
- Enucleation of the insulinoma
- Partial distal pancreatectomy
- Distal subtotal pancreatectomy is recommended for patients with insulinoma related to MEN1.37
- Recurrence is more common in the patients with MEN1.
- Hepatic resection is indicated for the treatment of metastatic liver disease if general condition is good. Resection should be considered only for patients with a limited number of hepatic metastases.
References
- ↑ Service FJ, McMahon MM, O'Brien PC, Ballard DJ (1991). "Functioning insulinoma--incidence, recurrence, and long-term survival of patients: a 60-year study". Mayo Clin Proc. 66 (7): 711–9. PMID 1677058.