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. 2017;26(3):127-152.
doi: 10.1297/cpe.26.127. Epub 2017 Jul 27.

Clinical practice guidelines for congenital hyperinsulinism

Affiliations

Clinical practice guidelines for congenital hyperinsulinism

Tohru Yorifuji et al. Clin Pediatr Endocrinol. 2017.

Abstract

Congenital hyperinsulinism is a rare condition, and following recent advances in diagnosis and treatment, it was considered necessary to formulate evidence-based clinical practice guidelines reflecting the most recent progress, to guide the practice of neonatologists, pediatric endocrinologists, general pediatricians, and pediatric surgeons. These guidelines cover a range of aspects, including general features of congenital hyperinsulinism, diagnostic criteria and tools for diagnosis, first- and second-line medical treatment, criteria for and details of surgical treatment, and future perspectives. These guidelines were generated as a collaborative effort between The Japanese Society for Pediatric Endocrinology and The Japanese Society of Pediatric Surgeons, and followed the official procedures of guideline generation to identify important clinical questions, perform a systematic literature review (April 2016), assess the evidence level of each paper, formulate the guidelines, and obtain public comments.

Keywords: congenital hyperinsulinism; guidelines; hypoglycemia.

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Figures

Fig. 1.
Fig. 1.
Flow chart for the management of congenital hyperinsulinism.

References

    1. Stanley CA. Advances in diagnosis and treatment of hyperinsulinism in infants and children. J Clin Endocrinol Metab 2002;87: 4857–9(HIGH). doi: 10.1210/jc.2002-021403 - DOI - PubMed
    1. De León DD, Stanley CA. Mechanisms of Disease: advances in diagnosis and treatment of hyperinsulinism in neonates. Nat Clin Pract Endocrinol Metab 2007;3: 57–68(HIGH). doi: 10.1038/ncpendmet0368 - DOI - PubMed
    1. Kawakita R, Sugimine H, Nagai S, Kawai M, Kusuda S, Yorifuji T. Clinical Characteristics of Congenital Hyperinsulinemic Hypoglycemia in Infant: A Nationwide Epidemiological Survey in Japan. J Jpn Pediatr Soc 2011;115: 563–9(in Japanese). (MEDIUM).
    1. Menni F, de Lonlay P, Sevin C, Touati G, Peigné C, Barbier V, et al. Neurologic outcomes of 90 neonates and infants with persistent hyperinsulinemic hypoglycemia. Pediatrics 2001;107: 476–9(MEDIUM). doi: 10.1542/peds.107.3.476 - DOI - PubMed
    1. Ludwig A, Ziegenhorn K, Empting S, Meissner T, Marquard J, Holl R, et al. Diabetes Patienten-Verlaufsdokumentationssystem (DPV) GroupGlucose metabolism and neurological outcome in congenital hyperinsulinism. Semin Pediatr Surg 2011;20: 45–9(MEDIUM). doi: 10.1053/j.sempedsurg.2010.10.005 - DOI - PubMed

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