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The clinical picture of organic hyperinsulinism is presented with reference to experience in 46 operated patients. For the recognition of disease, a careful history is a decisive contribution. The hunger test showed a characteristic hypoglycemic reaction in 100%; the tolbutamide test gave a positive result in 92%. Insulinomas could be localized angiographically in 71%; in one patient this could only be done with an ERCT. The treatment of choice is operation as soon as possible. If possible, enucleation is to be given preference over pancreas resection because of the low complication rate. A search for ectopic (2%) and multiple (12%) adenomas is important. A cure was achieved in 76% of all those operated on. The hospital mortality was about 4%.
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
November 1976,
Revista medica de Chile,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
October 1991,
Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
April 1976,
Journal of neurology,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
January 1979,
Radiologia diagnostica,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
February 2005,
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
September 1996,
Vnitrni lekarstvi,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
April 1998,
Vnitrni lekarstvi,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
March 1991,
Klinicheskaia meditsina,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
January 1999,
Khirurgiia,
F Spelsberg, and
R Landgraf, and
R Wirsching, and
G Heberer
January 1998,
Klinichna khirurhiia,
