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June 13, 2023

Historical Tidbit – Allen O. Whipple, M.D. (Sept 2, 1881 to April 6, 1963) and Whipple’s Triad

Allen O. Whipple, M.D. (Sept 2, 1881 to April 6, 1963) and Whipple’s Triad

Submitted by Alan D. Rogol, M.D., Ph.D.

Whipple’s triad is a collection of three clinical features indicating hyperinsulinism: autonomic or neuroglycopenic symptoms of hypoglycemia, e.g., shakiness or sweating; low plasma glucose concentration; and, resolution of these symptoms when plasma glucose levels are raised (Ann Surg 1935; 101:1299-1335). It is usually diagnosed in those with an insulin-secreting tumor, but also may apply to children with congenital hyperinsulinism. Whipple, a graduate of Princeton and Columbia Medical School was a well-respected general surgeon, who later led the Columbia Department of Surgery. He devised the pancreaticoduodenectomy, (Whipple procedure), for cancer of the head of the pancreas: removal of the head of the pancreas, the first part of the duodenum, gall bladder and bile duct (Ann Surg 1935; 102:763-769).

 

 

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