Pancreatic Endocrine and Exocrine Function in Children following Near-Total Pancreatectomy for Diffuse Congenital Hyperinsulinism


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Arya V. B., Senniappan S., Demirbilek H., Alam S., Flanagan S. E., Ellard S., ...Daha Fazla

PLOS ONE, cilt.9, sa.5, 2014 (SCI-Expanded) identifier identifier identifier

Özet

Context: Congenital hyperinsulinism (CHI), the commonest cause of persistent hypoglycaemia, has two main histological subtypes: diffuse and focal. Diffuse CHI, if medically unresponsive, is managed with near-total pancreatectomy. Post-pancreatectomy, in addition to persistent hypoglycaemia, there is a very high risk of diabetes mellitus and pancreatic exocrine insufficiency.