TY - JOUR
T1 - The treatment of hyperinsulinemic hypoglycaemia in adults: an update
AU - Davi′, M. V.
AU - Pia, A.
AU - Guarnotta, V.
AU - Pizza, G.
AU - Colao, A.
AU - Faggiano, A.
AU - On Behalf Of Nike Group, null
AU - Albertelli, Manuela
AU - Arvat, Emanuela
AU - Baldelli, Roberto
AU - Berruti, Alfredo
AU - Bianchi, Antonio
AU - Bodei, Lisa
AU - Botti, Gerardo
AU - Corcione, Francesco
AU - Delle Fave, Gianfranco
AU - De Marinis, Laura
AU - De Marinis Grasso, Laura
AU - De Rosa, Gaetano
AU - Di Sarno, Antonella
AU - Dicitore, Alessandra
AU - Fazio, Nicola
AU - Fanciulli, Giuseppe
AU - Ferolla, Piero
AU - Ferone, Diego
AU - Filice, Angelina
AU - Gallo, Marco
AU - Giordano, Carla
AU - Giuffrida, Dario
AU - Lania, Andrea
AU - Lastoria, Secondo
AU - Logoluso, Francesco
AU - Loli, Paola
AU - Malandrino, Pasqualino
AU - Manzoni, Marco
AU - Marchetti, Massimo
AU - Martini, Chiara
AU - Messina, Erika
AU - Modica, Roberta
AU - Motta, Cecilia
AU - Papotti, Mauro
AU - Partelli, Stefano
AU - Persico, Giovanni
AU - Piovesan, Alessandro
AU - Pontecorvi, Alfredo
AU - Ramundo, Valeria
AU - Razzore, Paola
AU - Rota, Francesca
AU - Scavuzzo, Francesco
AU - Sciammarella, Concetta
AU - Vitale, Giovanni
AU - Chiara Zatelli, Maria
PY - 2017
Y1 - 2017
N2 - Background: Treatment of hyperinsulinemic hypoglycaemia (HH) is challenging due to the rarity of this condition and the difficulty of differential diagnosis. The aim of this article is to give an overview of the recent literature on the management of adult HH. Methods: A search for reviews, original articles, original case reports between 1995 and 2016 in PubMed using the following keywords: hyperinsulinemic hypoglycaemia, insulinoma, nesidioblastosis, gastric bypass, autoimmune hypoglycaemia, hyperinsulinism, treatment was performed. Results: One hundred and forty articles were selected and analysed focusing on the most recent treatments of HH. Conclusions: New approaches to treatment of HH are available including mini-invasive surgical techniques and alternative local–regional ablative therapy for benign insulinoma and everolimus for malignant insulinoma. A correct differential diagnosis is of paramount importance to avoid unnecessary surgical operations and to implement the appropriate treatment mainly in the uncommon forms of HH, such as nesidioblastosis and autoimmune hypoglycaemia.
AB - Background: Treatment of hyperinsulinemic hypoglycaemia (HH) is challenging due to the rarity of this condition and the difficulty of differential diagnosis. The aim of this article is to give an overview of the recent literature on the management of adult HH. Methods: A search for reviews, original articles, original case reports between 1995 and 2016 in PubMed using the following keywords: hyperinsulinemic hypoglycaemia, insulinoma, nesidioblastosis, gastric bypass, autoimmune hypoglycaemia, hyperinsulinism, treatment was performed. Results: One hundred and forty articles were selected and analysed focusing on the most recent treatments of HH. Conclusions: New approaches to treatment of HH are available including mini-invasive surgical techniques and alternative local–regional ablative therapy for benign insulinoma and everolimus for malignant insulinoma. A correct differential diagnosis is of paramount importance to avoid unnecessary surgical operations and to implement the appropriate treatment mainly in the uncommon forms of HH, such as nesidioblastosis and autoimmune hypoglycaemia.
KW - Autoimmune hypoglycaemia
KW - Endocrinology
KW - Endocrinology, Diabetes and Metabolism
KW - Hyperinsulinemic hypoglycaemia
KW - Insulinoma
KW - Nesidioblastosis
KW - Treatment
KW - Autoimmune hypoglycaemia
KW - Endocrinology
KW - Endocrinology, Diabetes and Metabolism
KW - Hyperinsulinemic hypoglycaemia
KW - Insulinoma
KW - Nesidioblastosis
KW - Treatment
UR - http://hdl.handle.net/10807/91875
UR - http://link.springer.com/journal/40618
U2 - 10.1007/s40618-016-0536-3
DO - 10.1007/s40618-016-0536-3
M3 - Article
SN - 0391-4097
VL - 40
SP - 9
EP - 20
JO - Journal of Endocrinological Investigation
JF - Journal of Endocrinological Investigation
ER -