Surgical treatment of the diffuse form of CHI is challenging as the surgeon has to find an optimal compromise between resecting enough tissue in order to prevent persistent hypoglycemia while at the same time avoiding diabetes mellitus, exocrine pancreatic insufficiency and surgical complications causing reduced quality of life or even overall survival.

As many lesions are located deep in the pancreas, excision may be carried out more radical, with a higher chance of complications (such as pancreatic duct injury) eventually requiring partial pancreatectomy.

Furthermore, in focal CHI currently only approximately 70% of the lesions can be identified by pre-operative PET imaging so that many patients may not undergo potentially curative surgery.

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Until you give your consent, only those cookies necessary to maintain the website's functionality are active. When you choose "OK", so called third-party non-functional cookies (e.g. GDPR-conform Google Analytics) may also become active. Please be aware that the website's functionality may be restricted if you choose "DECLINE". You can revoke your choice at any time by clearing your browser cache/history and updating your selection. Please also view our privacy policy.
Ok Decline