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congenital hyperinsulinism

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Chapter 26 - Congenital Hyperinsulinism and Pancreatectomy
- By Maureen E. Scollon-McCarthy
Edited by Adam C. Adler, Arvind Chandrakantan, Ronald S. Litman
Book:

Case Studies in Pediatric Anesthesia

Published online:

30 November 2019

Print publication:

05 December 2019, pp 113-117
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Summary

In this chapter, the rare yet critical pediatric surgical procedure of pancreatectomy for hyperinsulinism is reviewed. The pathophysiology and diagnostic approach for congenital hyperinsulinism is discussed.The author covers the surgical interventions and their related complex anesthetic management in these patients, particularly with regards to maintenance of glucose homeostasis. The preoperative evaluation, anesthetic implications and regional anesthetic considerations are presented for this complex disease process.