Document Detail

Diagnostic monitoring of plasma levels of glucose and insulin during surgery for insulinoma.
MedLine Citation:
PMID:  6316003     Owner:  NLM     Status:  MEDLINE    
With serial measurement of blood sugar levels during surgery in three patients with solitary insulinoma, we confirmed the location, then later, the complete elimination of the insulin-secreting tumor. Following vigorous massage of the tumor, blood sugar levels decreased while the levels progressively increased within 20 min following removal of the tumor. Subsequent measurement of simultaneous plasma insulin levels provided further confirmation. Plasma levels of insulin increased in accordance with massage of the tumor. Prior to removal of the tumor, the levels progressively decreased to less than the preoperative levels. For success in detecting slight changes in blood sugar levels secondary to increase or decrease of insulin secretion during surgery for insulinoma, (1) controlled infusion of glucose to keep blood sugar levels around 80 mg/dl and (2) frequent rapid determination of blood sugar levels are considered to be important.
M Miyata; H Sakaguchi; T Hashimoto; M Izukura; M Hamaji; K Nakao; Y Kawashima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of surgery     Volume:  13     ISSN:  0047-1909     ISO Abbreviation:  Jpn J Surg     Publication Date:  1983 Jul 
Date Detail:
Created Date:  1984-01-07     Completed Date:  1984-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302176     Medline TA:  Jpn J Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  285-95     Citation Subset:  IM    
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MeSH Terms
Adenoma, Islet Cell / surgery*
Blood Glucose / metabolism*
Diagnosis, Differential
Insulin / blood*
Insulinoma / blood,  diagnosis,  surgery*
Middle Aged
Pancreatic Neoplasms / blood,  diagnosis,  surgery*
Reg. No./Substance:
0/Blood Glucose; 11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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