To the Editor: I read with interest the discussion of the child with islet-cell adenomas in the August 3 Case Records of the Massachusetts General Hospital. I was concerned that it may be inferred from Dr. Gabbay's discussion that this group of disorders is cured by partial pancreatectomy, and that continuous glucose infusion is the only presurgical treatment of choice. A review of the published cases of hypoglycemia in infancy secondary to insulin excess was undertaken by Thomas et al. in 1977.1 They showed that of the 87 patients reviewed, 15 per cent needed a second surgical resection of the.
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