Abstract:
BACKGROUND:The endogenous hyperinsulinemic hypoglicemia syndrome (EHHS) can be caused by an insulinoma, or less frequently, by nesidioblastosis in the pediatric population, also known as non insulinoma pancreatic hypoglycemic syndrome (NIPHS) in adults. The aim of this paper is to show the strategy for the surgical treatment of ehhs. MATERIAL AND METHODS:A total of 19 patients with a final diagnosis of insulinoma or NIPHS who were treated surgically from january 2007 until june 2012 were included. We describe the clinical presentation and preoperative work-up. Emphasis is placed on the surgical technique, complications and long-term follow-up. RESULTS:All patients had a positive fasting plasma glucose test. Preoperative localization of the lesions was possible in 89.4% of cases. The most frequent surgery was distal pancreatectomy with spleen preservation (9 cases). Three patients with insulinoma presented with synchronous metastases, which were treated with simultaneous surgery. There was no perioperative mortality and morbidity was 52.6%. Histological analysis revealed that 13 patients (68.4%) had benign insulinoma, 3 malignant insulinoma with liver metastases and 3 with a final diagnosis of SHPNI. Median follow-up was 20 months. All patients diagnosed with benign insulinoma or NIPHS had symptom resolution. CONCLUSION:The surgical treatment of EHHS achieves excellent long-term results in the control of hypoglucemic symptoms.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
de Santibañes M,Cristiano A,Mazza O,Grossenbacher L,de Santibañes E,Sánchez Clariá R,Sivori E,García Mónaco R,Pekolj Jdoi
10.1016/j.ciresp.2013.04.025subject
Has Abstractpub_date
2014-10-01 00:00:00pages
547-52issue
8eissn
0009-739Xissn
1578-147Xpii
S0009-739X(13)00329-1journal_volume
92pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract::This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and prepara...
journal_title:Cirugia espanola
pub_type: 杂志文章,实务指引
doi:10.1016/j.ciresp.2017.11.005
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70850-2
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:The current imbalance between donor supply and patients on the waiting list for liver transplantation (LT) is significant. To resolve this situation, marginal organs, such as those from type 2 donation after cardiac death (DCD2), are being considered. METHODS:In the present article, we present the first LT ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.06.016
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION:Living donor liver transplantation (LDLT) is an alternative to conventional transplantation given its excellent results. The aim of this study is to evaluate long-term outcomes in LDLT recipients. METHODS:100 consecutive THDV recipients from the Hospital Clínic of Barcelona from March 2000 to October 2015...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2017.03.012
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to evaluate the applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis. PATIENTS AND METHODS:All patients diagnosed with uncomplicated acute diverticulitis based on abdominal computed tomography findings during a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70989-7
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:It has been shown that procalcitonin (PCT) is a good marker for sepsis as the more severe the infection the higher the plasma levels. The Mannheim peritonitis index (MPI) is very effective in assessing the prognosis of secondary peritonitis. The aim of this study is to find out whether there is any correla...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.02.007
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Nodular thyroid disease possesses the potential to harbor malignancy. Our aim was to evaluate the significance of cervical diffusion-weighted magnetic resonance imaging (DW-MRI) for the detection of malignant thyroid nodules. METHODS:Sixty-five thyroid nodules from 58 patients who had undergone surgery were ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.04.016
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized. METHODS:A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity. RESULTS:All o...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.02.010
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To experimentally study the behaviour of 4 types of monofilament with 3 knotting techniques, very often used in surgery, employing mechanical tests. MATERIAL AND METHODS:Four 4/0 monofilaments were chosen, two of nylon, and the other two of polypropylene. Three types of knot designs were made with each threa...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2012.02.001
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION:Knowledge of the risk factors that may lead to complications after emergency hernia repair is of great importance, as much for the prioritisation of the elective surgery, as selecting those cases that require clinical follow up. OBJECTIVES:To analyse the factors conditioning the morbidity and mortality of...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)70547-5
更新日期:2008-04-01 00:00:00
abstract::Pancreatic cancer carries a poor prognosis. The only potentially curative treatment is surgical resection. However, this procedure can only be performed in a few cases due to presentation of the tumor in advanced stages. We present 2 exceptional cases of pancreatic cancer presentation. Case 1: A 59-year-old man presen...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71321-0
更新日期:2007-05-01 00:00:00
abstract::Adenocarcinoma (ADC) of the anal canal is a rare disease comprising only 5% of all anorectal neoplasias and 1.5% of all gastrointestinal tumours. The World Health Organisation classifies anal ADC into 3 types: the first may arise from the mucosa of the transitional zone in the upper canal, the second from the anal gla...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2013.01.002
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:The reported prevalence rate of bile duct cysts is very low. However, the clinical presentation of bile duct cysts is common to other hepatobiliary diseases. In this article, we report on a series of patients who have been surgically treated over the last 15 years. MATERIAL AND METHOD:All the patients who ha...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)75917-7
更新日期:2008-11-01 00:00:00
abstract::Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gas...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71729-3
更新日期:2007-11-01 00:00:00
abstract:INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.01.010
更新日期:2011-06-01 00:00:00
abstract::Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be sel...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(07)71672-x
更新日期:2007-08-01 00:00:00
abstract::Endoanal ultrasound is undoubtedly one of the major advances that has taken place in the evaluation of anorectal disease and pelvic floor disorders in the last decade. The main indications for endoanal ultrasound are evaluation of the morphology of the sphincteric apparatus in patients with fecal incontinence, the loc...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(05)74638-8
更新日期:2005-12-01 00:00:00
abstract::Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is consider...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2014.01.013
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)70565-7
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.04.009
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:To analyze the prognostic value of p53 protein as a marker of recurrence risk in each tumoral stage. PATIENTS AND METHOD:A prospective study of a cohort of 288 patients who underwent surgery for colorectal adenocarcinoma was performed. Stage 1 of the tumor-node-metastasis (TNM) classification was found in 42...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70840-x
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.04.007
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Ischaemic colitis (IC) is the most common form of bowel ischaemia and is often under-diagnosed. OBJECTIVES:To report the results obtained in patients with IC who required surgical intervention in our Hospital, and to evaluate the predictive factors of mortality. METHODS:The data were obtained from the Gr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2008.12.005
更新日期:2009-06-01 00:00:00
abstract::Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic p...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.03.008
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.002
更新日期:2021-01-20 00:00:00
abstract:INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.09.001
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:Currently, variability in surgical practice is a problem to be solved. The aim of this study is to describe the variability in the surgical treatment of breast cancer and to analyze the factors associated with it. METHODS:The study population included 1057 women diagnosed with breast cancer and surgically...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.11.001
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:The treatment of rectal cancer via laparoscopy is controversial due to its technical complexity. Several randomized prospective studies have demonstrated clear advantages for the patient with similar oncological results to those of open surgery, although during the learning of this surgical technique there...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.03.013
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:Advanced age and comorbidity impact on post-operative morbi-mortality in the frail surgical patient. The aim of this study is to assess the impact of a comprehensive, multidisciplinary and individualized care delivered to the frail patient by implementation of a Work Area focused on the Complex Surgical Pa...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2017.09.015
更新日期:2018-03-01 00:00:00