Laparoscopic Spleen-Preserving Distal Pancreatectomy as Treatment for Nesidioblastosis after Gastric Bypass Surgery
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.
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Pancreatic resection, the most commonly reported procedure, was performed in approximately 67% of patients.
“Pancreatic resection, the most commonly reported procedure, was performed in approximately 67% of patients (66,103,105,107,114,116-123).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [117]
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Self-citation
- Authors
- Alvarez, G. C., Faria, E. N., Beck, M., Girardon, D. T., & Machado, A. C.
- Affiliations
- Universidade Federal de Santa Maria (BR)
- Venue
- Obesity Surgery
- Published
- 2007-04
- Volume
- 17
- Issue
- 4
- Pages
- 550-552
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W2043536362
- Cited by
- 61
- References
- 13
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 9 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 4
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Keywords
- nesidioblastosis, laparoscopic distal pancreatectomy
- MeSH terms
- Adult, Female, Humans, Obesity, Pancreatectomy, Laparoscopy, Gastric Bypass, Nesidioblastosis
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