Transumbilical portal vein catheterization and insulin analysis in an infant with hypoglycemia.

Autor: Kishi, Kiyoshi, Odachi, Toshinari, Inoue, Masakatsu, Nishimura, Okitsugu, Koga, Shigemasa
Zdroj: Japanese Journal of Surgery; May1983, Vol. 13 Issue 3, p261-263, 3p
Abstrakt: We performed transumbilical portal vein catheterization and sampled portal blood selectively to carry out immunoreactive insulin (IRI) analyses in a 7-month-old girl with hypoglycemia. The IRI concentration was highest in the mid-portion of the splenic vein. Although no tumor was found at surgery, 70 per cent of the caudal pancreas was resected above the superior mesenteric vein to a point determined by preoperative investigations. Pathologic examination of the resected specimen indicated nesidioblastosis. There have been no postoperative hypoglycemic symptoms. Our technique is efficacious in reaching a diagnosis of infantile hypoglycemia. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index