Hypoglycemia surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Overview

Surgical removal of the insulinoma is the treatment of choice and resection of metastatic liver disease.

Surgery

• Surgical removal of the insulinoma is the treatment of choice:
• Enucleation of the insulinoma
• Partial distal pancreatectomy
• Distal subtotal pancreatectomy is recommended for patients with insulinoma related to MEN1.
• 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.