Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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A Case of Surgical Treatment of Nesidioblastosis in Infancy

영아에서 발생한 췌도모세포증의 외과적 치료 1예

  • Huh, Young-Soo (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Chai, Sang-Chul (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Nah, Mok-Chan (Division of Pediatric Surgery, Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Mi-Jin (Department of Anatomical Pathology, College of Medicine Yeungnam University)
  • 허영수 (영남대학교 의과대학 일반외과학교실, 소아외과) ;
  • 채상철 (영남대학교 의과대학 일반외과학교실, 소아외과) ;
  • 나목찬 (영남대학교 의과대학 일반외과학교실, 소아외과) ;
  • 김미진 (영남대학교 의과대학 해부병리학교실)
  • Published : 1995.11.15
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Abstract

Nesidioblastosis in one of the causes of hyperinsulinemic hypoglysemia in infancy. The most important goal of treatment for persistent hypoglycemia is the prevention of permanent brain damage. The early surgical management is satisfactory to this goal in nesidioblastosis and maintains normal blood sugar level without administration of drugs or supplement of sugar postoperatively in many cases. We experienced a female infant of 3 months old who has suffered from persistent hypoglysemia due to hyperinsulinism and was suspected nesidioblastosis for its cause clinically. She underwent 95% distal pancreatectomy. The histologic findings of nesidioblastosis was confirmed postoperatively. No postoperative complication was occured and her blood sugar levels were maintained within normal range without medical treatment.

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