Evidence map›Paper›PMID 40960608›Full record

ArticlePediatric surgery international2025

Postoperative complications following surgery for congenital hyperinsulinism and insulinomas in pediatric patients.

Gregers Gaardskær Boel, Henrik Thybo Christesen, Mark Bremholm Ellebæk, Michael Bau Mortensen

Abstract read
In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gregers Gaardskær BoelMedical Student, Odense University Hospital, 5000, Odense, Denmark. Gregers.gaardskaer.boel@rsyd.dk.
Henrik Thybo ChristesenOdense Pancreas Center (OPAC), Department of Clinical Research, Faculty of Health Sciences, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Mark Bremholm EllebækResearch Unit for Surgery, Odense University Hospital, University of Southern Denmark, and Centre of Excellence in Gastrointestinal Diseases and Malformations in Infancy and Childhood (GAIN), Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Michael Bau MortensenResearch Unit for Surgery, Odense PIPAC Center (OPC) and Odense Pancreas Center (OPAC), Odense University Hospital, University of Southern Denmark, Odense University Hospital, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically describe postoperative complications in surgery for HI in pediatric patients.

methodsIn this retrospective single-center study, we systematically analyzed the rate and grade of complications according to the Comprehensive Complication Index (CCI), Clavien-Dindo Classification (CDC), and the Clavien-Madadi Classification (CMC) in 74 patients undergoing a total of 89 surgeries for CHI (N = 68) or pediatric insulinomas (N = 6) at Odense University Hospital, Denmark, from 01.01.2010 until 01.10.2024.

resultsPatients surgically treated for focal CHI had more favorable surgical outcomes with a mean CCI score of 10.8 vs. the diffuse CHI mean CCI of 26.3 (p = 0.0018). Surgical treatment for pediatric insulinomas resulted in a mean CCI of 28.9. In the total group, the most common complication was postoperative infection (29%), followed by delayed gastric emptying (20%). The rate of postoperative pancreatic fistula was 11%, but only 3.4% were clinically relevant. Eight percent of the surgical procedures resulted in complications classified as CMD grade IIIb or higher.

conclusionDespite the complex nature of surgery in pediatric patients with CHI or insulinomas, the majority had an uneventful recovery. Severe complications (CMC grade IIIb +) were, however, seen in 8%. Prospective, systematic postoperative complication score evaluation is encouraged in surgery for pediatric HI.

Indexed as

Congenital HyperinsulinismInsulinomaPancreatic NeoplasmsPostoperative ComplicationsAdolescentChildChild, PreschoolDenmarkFemaleHumansInfantMalePancreatectomyRetrospective StudiesCongenital HyperinsulinismNear-total pancreatectomyPancreatic surgeryPediatric surgeryPostoperative complications

Identifiers

PMID40960608
PMCPMC12443887

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.