| CASE REPORT |
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| Year : 2008 | Volume
: 52
| Issue : 5 | Page : 566 |
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Anaesthesia for Nesidioblastosisin A New Born: A Case Report
K Sunitha Zachariah1, C Karthikeyan2, Rebecca Jacob3, Chacko Jacob4
1 Senior lecturer, Department of Anaesthesia, Christian Medical College, Vellore, India
2 P.G. Student, Department of Anaesthesia, Christian Medical College, Vellore, India
3 Professor, Department of Anaesthesia, Christian Medical College, Vellore, India
4 Professor, Department of Paediatric Surgery, Christian Medical College, Vellore, India
Correspondence Address:
K Sunitha Zachariah
Department of Anaesthesia, Christian Medical College, Vellore
India
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Congenital hyperinsulinism as seen in nesidioblastosis is the most common cause of non transient neonatal hypoglycaemia. The prime concern in nesidioblastosis is the prevention of dangerous hypoglycaemia which can lead to coma, brain damage or mental retardation. In this report we describe the presentation and perioperative course of a case of nesidioblastosis in a newborn who had persistent hypoglycaemia with convulsions in spite of high concentrations of dextrose infusion. As sugars were low in spite of medical management, 95% pancreatectomy was done and the baby was discharged following discontinuation of intravenous fluids and starting breast feeds. |
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