Robotic Near-Total Pancreatectomy for Nesidioblastosis after Bariatric Surgery
نویسندگان
چکیده
Postprandial symptoms of neuroglycopenia after bariatric surgery may result as a consequence of endogenous hyperinsulinemic hypoglycemia (nesidioblastosis) not dumping syndrome. Pancreatectomy is an acceptable treatment for this condition. We present the video of a case of near-total distal robotic pancreactectomy for the treatment of nesidioblastosis after Roux-en-Y gastric bypass. Robotic pancreatectomy is an alternative to the treatment of nesidioblastosis after Roux-en-Y gastric bypass.
منابع مشابه
Adult onset nesidioblastosis after gastric bypass surgery, a clinical and pathologic review
Despite the many benefits of bariatric surgery in patients with morbid obesity, concerns have been raised over its association with severe hyperinsulinemic hypoglycemia and nesidioblastosis following Roux-en-Y gastric bypass surgery. Cases have been described with severe post-prandial hypoglycemia with neurological symptoms following surgery. Some of these cases are recalcitrant to medical trea...
متن کاملNesidioblastosis in the Adult Surgical Management
Nesidioblastosis is an exceedingly rare occurrence in the adult and, when it appears, it is usually part of a MEA1 syndrome. We present a case of nesidioblastosis in a young woman, with no concurrent endocrine pathology, while we discuss in detail the diagnostic and therapeutic problems posed by this condition. The selected treatment was sub-total pancreatectomy (70-80%) and the histopathologic...
متن کامل[Mitral regurgitation of unknown etiology in a 20-year-old patient].
cell function which had remained masked and asymptomatic because of insulin resistance in obesity, or pathological beta cell hyperplasia in response to certain humoral factors which are increased following gastric bypass. Specifically, an excessive increase in GLP-1 in response to a mixed meal has been seen in patients with this complication, unlike patients undergoing bypass who have not exper...
متن کاملHyperinsulinemic Hypoglycemia after Bariatric Surgery: Diagnosis and Management Experience from a Spanish Multicenter Registry
BACKGROUND Severe postprandial hypoglycemia after bariatric surgery is a rare but invalidating complication. Our aim was to describe the different tests performed for its diagnosis and their outcomes as well as the response to the prescribed pharmacological and surgical treatments. METHODS Multicenter, retrospective systematic review of cases with recurrent severe postprandial hypoglycemia. ...
متن کاملAdult-onset nesidioblastosis causing hypoglycemia: an important clinical entity and continuing treatment dilemma.
HYPOTHESIS Nesidioblastosis is an important cause of adult hyperinsulinemic hypoglycemia, and control of this disorder can often be obtained with a 70% distal pancreatectomy. DESIGN The records of all adult patients operated on for hypoglycemia between 1974 and 1999 were reviewed retrospectively. Patients with the pathologic diagnosis of nesidioblastosis were contacted for follow-up (1.5-21 y...
متن کامل