Surgical treatment of idiopathic hyperinsulinemic hypoglycemia in children. First successful subtotal pancreatectomy with preservation of spleen reported by Evarts A. Graham (1934).

The first successful subtotal pancreatectomy for idiopathic hypoglycemia in a child was performed by Dr. Evarts Graham in 1934. He did an extended resection and preserved the spleen. Although both of these aspects of the operation are now identified as important principles, it is apparent from a review of the literature that their importance was not recognized for many years.