Non-focal Congenital Hyperinsulinism
Conditions
Brief summary
Observational study in patients with non-focal congenital hyperinsulinism showing that restrictive surgery may improve the metabolic situation
Detailed description
In non-focal congenital hyperinsulinism (CHI) the current doctrine warrants subtotal pancreatic resection in all children who do not respond to medication. However, the rate of diabetes after these extensive resections is very high. In this study investigators show that a less aggressive approach may suffice to wean many children from all medication or to get them manageable medically.
Interventions
Restrictive, spleen-preserving resection of the pancreatic tail by laparoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with non-focal congenital hyperinsulinism
Exclusion criteria
* patients with focal congenital hyperinsulinism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| necessity of medication after restrictive surgery in congenital hyperinsulinism | up to 3 years |
Countries
Germany