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Literature DB >> 17608271

Laparoscopic spleen-preserving distal pancreatectomy as treatment for nesidioblastosis after gastric bypass surgery.

Glauco C Alvarez¹, Everton N Faria, Maristela Beck, Dener T Girardon, Ana Cristina Machado.

Abstract

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.

Entities: Chemical Disease Species

Mesh：

Year: 2007 PMID： 17608271 DOI： 10.1007/s11695-007-9096-0

Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 4.129

11 in total

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Journal: Arch Intern Med Date: 2004-02-09

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Authors: H Sigstad
Journal: Acta Med Scand Date: 1970-12

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Journal: Diabetes Date: 1999-12 Impact factor: 9.461

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Authors: Martin Anlauf; Daniel Wieben; Aurel Perren; Bence Sipos; Paul Komminoth; Andreas Raffel; Marie L Kruse; Christian Fottner; Wolfram T Knoefel; Heiner Mönig; Philipp U Heitz; Günter Klöppel
Journal: Am J Surg Pathol Date: 2005-04 Impact factor: 6.394

5. Bariatric surgery for morbid obesity.

Authors: M J Monteforte; C M Turkelson
Journal: Obes Surg Date: 2000-10 Impact factor: 4.129

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Authors: B Gebhard; J J Holst; C Biegelmayer; J Miholic
Journal: Dig Dis Sci Date: 2001-09 Impact factor: 3.199

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Authors: F J Service; N Natt; G B Thompson; C S Grant; J A van Heerden; J C Andrews; E Lorenz; A Terzic; R V Lloyd
Journal: J Clin Endocrinol Metab Date: 1999-05 Impact factor: 5.958

8. Hyperinsulinemic hypoglycemia with nesidioblastosis after gastric-bypass surgery.

Authors: Geoffrey J Service; Geoffrey B Thompson; F John Service; James C Andrews; Maria L Collazo-Clavell; Ricardo V Lloyd
Journal: N Engl J Med Date: 2005-07-21 Impact factor: 91.245

9. Secretion of glucagon-like peptide-1 and reactive hypoglycemia after partial gastrectomy.

Authors: J J Andreasen; C Orskov; J J Holst
Journal: Digestion Date: 1994 Impact factor: 3.216

Review 10. Minireview: Glucagon-like peptides regulate cell proliferation and apoptosis in the pancreas, gut, and central nervous system.

Authors: P L Brubaker; D J Drucker
Journal: Endocrinology Date: 2004-03-24 Impact factor: 4.736

25 in total

Laparoscopic spleen-preserving distal pancreatectomy as treatment for nesidioblastosis after gastric bypass surgery.

Review 1. The escalating pandemics of obesity and sedentary lifestyle. A call to action for clinicians.

2. A clinical diagnostic index in the diagnosis of the dumping syndrome. Changes in plasma volume and blood sugar after a test meal.

3. Glucagon-like peptide 1 and exendin-4 convert pancreatic AR42J cells into glucagon- and insulin-producing cells.

4. Persistent hyperinsulinemic hypoglycemia in 15 adults with diffuse nesidioblastosis: diagnostic criteria, incidence, and characterization of beta-cell changes.

5. Bariatric surgery for morbid obesity.

6. Postprandial GLP-1, norepinephrine, and reactive hypoglycemia in dumping syndrome.

7. Noninsulinoma pancreatogenous hypoglycemia: a novel syndrome of hyperinsulinemic hypoglycemia in adults independent of mutations in Kir6.2 and SUR1 genes.

8. Hyperinsulinemic hypoglycemia with nesidioblastosis after gastric-bypass surgery.

9. Secretion of glucagon-like peptide-1 and reactive hypoglycemia after partial gastrectomy.

Review 10. Minireview: Glucagon-like peptides regulate cell proliferation and apoptosis in the pancreas, gut, and central nervous system.

1. Roux-en-Y gastric bypass promotes expression of PDX-1 and regeneration of beta-cells in Goto-Kakizaki rats.

2. Abnormal glucose tolerance testing following gastric bypass demonstrates reactive hypoglycemia.

3. Gastric emptying controls type 2 diabetes mellitus.

4. The change in the dumping syndrome concept.

5. Management of postgastric bypass noninsulinoma pancreatogenous hypoglycemia.

Review 6. Body mass index and outcomes from pancreatic resection: a review and meta-analysis.

7. Back to Sleeve: an Extreme Solution for Specific Complications of the Roux-en-Y Gastric Bypass.

8. Total pancreatectomy for the management of refractory post-gastric bypass hypoglycemia.

Review 9. [Conversional and endoscopic procedures following bariatric surgery].

10. Successful medical management of status post-Roux-en-Y-gastric-bypass hyperinsulinemic hypoglycemia.