Experience with 95% pancreatectomy and splenic salvage for neonatal nesidioblastosis.
AUTOR(ES)
Martin, L W
RESUMO
Conventional 85% pancreatectomy with splenectomy performed for management of hypoglycemia of neonatal nesidioblastosis has been followed by a dismal prognosis characterized by post-splenectomy sepsis, recurrent hypoglycemia, permanent brain damage, and a high mortality. For our last eight infants we have found it possible to remove at least 95% of the pancreas, preserving the blood supply to the spleen as well as the duodenum. This has permitted satisfactory control of the hypoglycemia and long-term septic complications have been avoided. Follow-up evaluation up to 20 years with successful control of hypoglycemia without progressive brain damage indicates the value of this primary extensive surgical approach.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1250487Documentos Relacionados
- Hyperinsulinaemic hypoglycaemia due to chlorpropamide-induced nesidioblastosis.
- Splenic salvage after intraoperative splenic injury during colectomy
- Secondary structure content of the HDV ribozyme in 95% formamide.
- Comparison of effects of 95% and 90% oxygen saturations in respiratory distress syndrome.
- 95% of women in England not screened for sickle cell anaemia or thalassaemia by 10 week target