Laparoscopic Spleen-Preserving Distal Pancreatectomy as Treatment for Nesidioblastosis after Gastric Bypass Surgery Authors
First Online: 01 May 2007 Received: 08 September 2006 Accepted: 09 November 2006 DOI:
Cite this article as: Alvarez, G.C., Faria, E.N., Beck, M. et al. OBES SURG (2007) 17: 550. doi:10.1007/s11695-007-9096-0
Nesidioblastosis is characterized by hyperfunction of pancreatic islets caused by hypertrophic beta cells. Postprandial symptoms of hypoglycemia are the clinical presentation of the disease. A female patient with diabetes mellitus who underwent a Roux-en-Y gastric bypass began to present postprandial symptoms of hypoglycemia. There was no radiologic (MRI) evidence of insulinoma. Selective arterial calcium-stimulation test identified hyperfunction only in the splenic artery. Laparoscopic spleen-preserving distal pancreatectomy was performed.The patient has been entirely free of any postprandial symptoms for 10 months after the partial pancreatectomy.
Key words Nesidioblastosis gastric bypass surgery hypoglycemia laparoscopic distal pancreatectomy Download to read the full article text References
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