Conclusion
Intra-operative haemorrhage should not occur and the most frequently encountered problem is trauma to the bile duct. The duct may be injured only in the near-total resections — incidence of 12%. The injury can occur intra-operatively and, if detected, repaired immediately by direct suture or by choledochoduodenostomy. Late stricture from ischaemia can occur weeks to months post-operatively and these too require drainage by choledocho-enterostomy. Other complications include wound sepsis, adhesion intestinal obstruction and prolonged ileus. The long-term requirements for insulin therapy and exocrine pancreatic replacement need to be carefully assessed.
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Spitz, L. (2006). Surgery for Persistent Hyperinsulinaemic Hypoglycaemia of Infancy. In: Puri, P., Höllwarth, M.E. (eds) Pediatric Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30258-1_36
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DOI: https://doi.org/10.1007/3-540-30258-1_36
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