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Observational study in patients with non-focal congenital hyperinsulinism showing that restrictive surgery may improve the metabolic situation
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| non-focal congenital hyperinsulinism | 13 children and one adult with non-focal congenital hyperinsulinism |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| restrictive pancreatic resection | Procedure | Restrictive, spleen-preserving resection of the pancreatic tail by laparoscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| necessity of medication after restrictive surgery in congenital hyperinsulinism | up to 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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13 children and one adult (30 years)
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| Name | Affiliation | Role |
|---|---|---|
| Winfried Barthlen, Professor of Pediatric Surgery | University Medicine Greifswald | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pediatric Surgery | Greifswald | D-17475 | Germany |
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