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Major selection criteria for patients diagnosed with: Insulinoma

Insulinoma: Compare Costs for a treatment abroad

This page shows a catalogue of the leading hospitals on the treatment of "Insulinoma". The list is formed on the basis of the annual official ranking of medical centers. You can compare the clinics and choose the best. Also, you can contact us for assistance in selecting a medical center abroad. You will receive full support on your trip and medical tour insurance. Booking Health takes care of organizational issues: issuing a visa, reserving hotel accomodation and tickets, transfer, translation of documents. We want you to be healthy!

Age: 15 years or older
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Sachsenhausen Hospital Frankfurt am Main

10/10 from 23 Votes

The Sachsenhausen Hospital was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes. The hospital offers services in the field of bariatric surgery.

Diagnosis of insulinoma
2318
Insulinoma treatment with partial pancreas resection
14528
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Insulinoma treatment with partial pancreas resection
15720
location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Diagnosis of insulinoma
3548
Insulinoma treatment with partial pancreas resection
19651
location_onCountry: Germany
location_searchingCity: Munich
certificate

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Diagnosis of insulinoma
2539
Insulinoma treatment with partial pancreas resection
16088
location_onCountry: Germany
location_searchingCity: Cologne
certificate

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Diagnosis of insulinoma
2573
Insulinoma treatment with partial pancreas resection
15635
location_onCountry: Germany
location_searchingCity: Karlsruhe

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Diagnosis of insulinoma
2749
Insulinoma treatment with partial pancreas resection
17257
location_onCountry: Germany
location_searchingCity: Munich
certificate

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Diagnosis of insulinoma
2615
Insulinoma treatment with partial pancreas resection
19976
location_onCountry: Germany
location_searchingCity: Munich
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Diagnosis of insulinoma
2490
Insulinoma treatment with partial pancreas resection
15669
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Muenster

8.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Diagnosis of insulinoma
2944
Insulinoma treatment with partial pancreas resection
20039
location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Würzburg

9.2/10 from 38 Votes

The University Hospital Würzburg has been an institution of public law since 2006. It supports the Faculty of Medicine in its research and teaching. As the center of maximum medical care, the University Hospital provides its services to the region with 1,5 million people.

Insulinoma treatment with partial pancreas resection
17004
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Diagnosis of insulinoma
2581
Insulinoma treatment with partial pancreas resection
16736
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

The Hospital St. Elisabeth Grevenbroich offers a wide range of medical services. Special focuses include gastroenterology, oncology, general, abdominal and vascular surgery.

Insulinoma treatment with partial pancreas resection
16796
location_onCountry: Germany
location_searchingCity: Grevenbroich

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Diagnosis of insulinoma
2939
location_onCountry: Germany
location_searchingCity: Essen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Diagnosis of insulinoma
0.00
Insulinoma treatment with partial pancreas resection
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

The Marienhaus Klinikum St. Elisabeth Neuwied has 13 Departments and is one of the largest hospitals in the north of Rhineland-Palatinate. With 429 beds, the Marienhaus Klinikum St.

Insulinoma treatment with partial pancreas resection
16158
location_onCountry: Germany
location_searchingCity: Neuwied

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Insulinoma treatment with partial pancreas resection
0.00
location_onCountry: Israel
location_searchingCity: Haifa

About the disease

Insulinoma is a benign tumor of the pancreas which originates in the beta cells responsible for insulin secretion. Insulinoma is the rarest cancer of endocrinal system. It also never metastases into other organs. Insulinoma derives from beta cells and secrets insulin. If the person has insulinoma, the level of blood glucose in his blood circulation is very low, because the secretion of the insulin does not function properly. If the pancreas generates too much insulin, a person may develop insulinoma. Pancreas is located in the abdomen and it produces hormones among which insulin is one of the most vital as it reduces sugar level in blood. If the level of sugar becomes too low or too high, the pancreas stops producing insulin. In case the pancreas produces too much insulin which is not proportional to the level of blood sugar, insulinoma may develop.    

The most well-known insulinoma cause is hypoglycemia, when blood sugar is low. If the case of hypoglycemia is not severe, the person feels anxiety, dizziness and hunger. If hypoglycemia is progressed, it may result in much more serious outcomes, such as coma or death.

Another insulinoma cause is the genetic predisposition. Usually people may develop insulinoma after 40 years old, because children have cells in the pancreas, which can release the excessive amount of insulin and regulate its level. Almost all insulinomas are benign, that`s why they are not as dangerous as malignant tumors.

Symptoms

  • Seizures
  • Changes in behaviour
  • Anxiety attacks
  • Weight gain
  • Dizziness
  • Sweating
  • Constant hunger
  • Headache
  • Anger
  • Speech disorder

Usually there are no symptoms during the initial phase of tumor development. After it is bigger than 50 mm, hypoglycemia symptoms become apparent. Usually it includes increased appetite and development of obesity. Even after food consumption, he still feels hunger and begins to overeat systematically. Episodes of sudden hunger can occur even at night when a person suddenly wakes up and has an urgent need to eat something. As a result the central nervous system violates its functions and a person may have an acute hypoglycemic attack. Usually the attack begins in the morning when the person did not eat for several hours. During that period glucose level starts to drop by several levels. If the hypoglycemic attack is mild, person feels only certain neurological disorders, which includes weakness and headache. The person also feels dizzy, cannot concentrate, stand up for a long time or speak in a prolonged manner, he is usually very sleepy and needs something sweet to eat.

If hypoglycemic attack is more severe, the person has absolutely opposite insulinoma symptoms. He suddenly becomes over excited and agitated, feels restlessness and euphoria, which can even result in colorful hallucinations. Euphoria may suddenly turn into unmotivated aggression, when the person starts to scream or cry without any obvious reason. Hypoglycemic attack is in most cases accompanied by tremor, cold sweat and tachycardia. If the attack progresses, the person may get into coma. The attack is usually cured with intravenous administration of glucose. After the return of consciousness patients usually do not remember anything what happened. They become very tranquil and relaxed. The attack can cause not only coma, but also a heart attack, because the heart valves during the seizure stop working properly.  In that case the patient requires immediate medical help.

Diagnosis

The diagnosis of insulinoma is usually carried out during blood tests. The blood test determines the level of glucose and insulin in the blood and if the levels are either too high or too low the patient undergoes the magnetic resonance scan or the ultrasound too see if there is tumor. If the patient was diagnosed with hypoglycemia, he also needs to undergo complex laboratory tests to understand the reason of low blood sugar level. Usually the patient needs to go through starvation to create a hypoglycemic state and to analyze the reaction of the body to it.

Sometimes doctors small doses of insulin can be injected to check body reaction.. The level of insulin in healthy people is significantly lower for those who have tumor and that`s why the insulin is introduced into blood to maintain the proportional ratio between glucose and sugar.

In some cases it is very difficult to distinguish insulinoma from the moderate case of hypoglycemia. Usually hypoglycemia is caused by alcohol or grugs abuse, that`s why the doctor always asks the patient about his drinking habits and the names of drugs he takes. Insulinoma symptoms apart from everyting resemble the symptoms of adrenal cancer as well. 

Treatment

The treatment of insulinoma usually requires surgical resection. In most cases surgery involves resection of the affected part of the pancreas. Surgery is considered to be successful, if the level of glucose and insulin normalizes. Nevertheless, there may be such post-operative complications as the necrosis of the pancreas which means that the cells of the pancreas become dead. Surgery can also result in peritonitis and in that case the patient requires another operation.

If insulinoma is inoperable which may happen if its size is too big or location inaccessible, doctors apply conservative treatment. Thus type of treatment applies drugs that can prevent the development of hypoglycemia by introducing adrenaline into the body. In the initial stages of conservative treatment the patient is usually recommended to intake high amounts of carbohydrates.

If insulinoma is malignant, in addition to surgery doctors may administrate several courses of chemotherapy. Radiofrequency intervention is usually not applied for the insulinoma treatment.

People who have underwent surgery later need to be regularly examined by neurologist and an endocrinologist. They also need to have their blood test taken every month to screen the level of glucose and insulin in blood. Patients usually have to balance their diet, which should include vegetables and fruits. They must also avoid sweets and fatty food.




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