Surgical operations on the pancreas in malignant disease in children

Because of the danger of irreversible brain damage in children, effective therapy for hypoglycaemia must be initiated as rapidly as possible. If drug therapy fails, only surgery remains after thorough metabolic, endocrinological and radiological investigations to completely cure B-cell adenoma. I conclude with a quotation from Sauerbruch (15), who had successfully removed an insulinoma from a 7-year-old girl: If in medicine we can speak about causally induced disorders, then it is justified here. A tangible, anatomically unequivocal finding causes a localized disease, which disappears without trace after the removal of a small tumour. Other endocrine disorders cannot be detected with such convincing clarity and interpreted in the same way, nor can they be as successfully treated as this.