hrp0098p1-108 | Adrenals and HPA Axis 2 | ESPE2024

Surveillance for phaeochromocytoma in children with changes in the SDHB gene may reduce morbidity: Contrasts in parent and child cases

Atiq Elham , Murphy Fiona , Morgan Henry , Weerasinghe Kamal , Hart Rachel , Holt Richard , Shaw Suzanne , Blair Joanne

Background: Phaeochromocytoma is a rare neuroendocrine tumour originating from chromaffin cells in the adrenal medulla and less commonly from extra-adrenal paraganglia. Phaeochromocytoma occur in the context of a genetic syndrome in approximately 50% of adults and 80% of children. Genetic testing of index cases enables testing of first-degree relatives, identification of children who inherit the gene change and surveillance, early diagnosis and treatment of as...

hrp0098p2-344 | Late Breaking | ESPE2024

Fluorescence-Guided Laparoscopic Near-Total Pancreatectomy: An Innovative Approach for Infants with Diffuse Congenital Hyperinsulinism—A Case Series

Atiq Elham , Dastamani Antonia , Kelay Arun , Stoyanov Danail , Giuliani Stefano , De Coppi Paolo

Introduction: Open near-total pancreatectomy remains the standard treatment for medically unresponsive diffuse Congenital Hyperinsulinism (CHI). This procedure involves significant postoperative morbidity, prolonged recovery and a high risk of adhesions. Minimally invasive surgery (MIS) near-total pancreatectomy in infants with diffuse CHI may reduce these complications but is challenging due to the risk of common bile duct (CBD) injuries. Intraoperative compl...