Surgical Treatment of Organic Hyperinsulinism

Abstract

Patients with hyperinsulinism caused by islet cell tumor or hyperplasia are best treated surgically. At operation a thorough search for tumor must be made, including ectopic sites. If a tumor cannot be found, partial pancreatectomy is recommended. The transient diabetes that follows partial resection of the gland does not require specific treatment. Eleven case reports of organic hyperinsulinism are presented here. All but one patient underwent operation. Overall results are satisfactory.