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CASE REPORT |
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Year : 1996 | Volume
: 42
| Issue : 1 | Page : 23-6 |
Anaesthetic management of nesidioblastosis in a newborn.
AA Soares, SA Karapurkar, SS Suresh
Anaesthesiology Department, GS Medical College & KEM Hospital, Parel, Mumbai.
Correspondence Address:
A A Soares Anaesthesiology Department, GS Medical College & KEM Hospital, Parel, Mumbai.
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 0009715292 
This report details the management of a newborn with nesidioblastosis who underwent a 95% pancreatectomy under general anaesthesia. The baby presented with hypoglycemic convulsions, due to hyperinsulinism, and was treated with 12.5% dextrose infusions, glucagon and anticonvulsants. Intraoperatively and postoperatively the baby remained hyperglycemic. A postoperative osmotic diuresis necessitated the use of insulin for brief period. The infant remained euglycemic and convulsion free, following discontinuation of the dextrose infusions and starting of oral feeds. Recovery was uneventful.
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