A Rare Complication of Gastric Bypass (Weight Loss) Surgery: Nesidioblastosis

ÜNAL B., Uzun O. C., BAŞSORGUN C. İ., Erdogan O., ELPEK G. Ö.

INTERNATIONAL JOURNAL OF SURGICAL PATHOLOGY, vol.23, no.1, pp.68-70, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.1177/1066896914554833
  • Journal Name: INTERNATIONAL JOURNAL OF SURGICAL PATHOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.68-70
  • Keywords: nesidioblastosis, gastric bypass, weight loss, hyperinsulinemic hypoglycemia, DIABETES-MELLITUS, ADULT, HYPOGLYCEMIA
  • Akdeniz University Affiliated: Yes

Abstract

Here, we present the case of a 31-year-old woman patient who underwent distal pancreatectomy with the history of gastric bypass surgery for obesity. The final histopathological diagnosis of the lesion was nesidioblastosis. Nesidioblastosis is the most common cause of organic persistent hyperinsulinemic hypoglycemia in newborns; however, it is rare in adults. In adults, it is difficult to diagnose nesidioblastosis with only clinical findings. The definitive diagnosis of the disease depends on the histopathological examination of pancreatic tissue and the exclusion of insulinoma.