Hyperinsulinemic hypoglycemia in adults. Nesidioblastosis case report and review of the literature.

Hypoglycemia due to endogenous hyperinsulinism usually occurs in 2 pathological situations: the most frequent is insulinoma and, secondly, nesidioblastosis or also known as non-insulinoma pancreatic hypoglycemic syndrome. Nesidioblastosis is a rare cause of hyperinsulinic hypoglycemia in adults. We present the clinical case of an adult patient with recurrent hypoglycemia secondary to nesidioblastosis.

[Efectos metabólicos en pacientes obesos posoperados de bypass gástrico laparoscópico: 5 años de experiencia en un hospital de tercer nivel].

IntroducciÓn: La obesidad se define como una enfermedad caracterizada por una acumulación anormal o excesiva de grasa que puede ser perjudicial para la salud. La cirugía bariátrica es un método efectivo y seguro en el tratamiento de la obesidad extrema.

Materiales Y MÉtodos: Se realizó una revisión y análisis de 90 expedientes clínicos de pacientes post-operados de bypass gástrico laparoscópico.

[Laparoscopic Roux-en-Y gastric bypass surgery for morbid obesity. Experience at the Nacional de Ciencias Médicas y Nutrición Salvador Zubirán].

Introduction: Morbid obesity is a serious health problem associated to a significant reduction in life expectancy.

Objective: To evaluate the anthropometric and metabolic changes observed in obese patients, 3, 6 and 12 months after laparoscopic Roux-en-Y gastric bypass surgery and the complications associated with the procedure.

Material And Methods: Retrospective study that included 128 consecutive obese patients submitted for bariatric surgery at the INCMNSZ (2004-2006).

Intrahepatic repair of bile duct injuries. A comparative study.

Introduction: The frequency of bile duct injuries associated to cholecystectomy remains constant (0.3-0.6%).