For the patient in the preceding question, an insulin/glucose ratio of 0.5 was documented at 28 hours of fasting. Symptoms of mental obtundation developed concurrently and were reversed by oral glucose administration. Endoscopic ultrasonography demonstrated a 1.2 cm mass in the head of the pancreas. Appropriate management consists of which of the following?
A.	Surgical enucleation of the tumor
B.	Total pancreatectomy
C.	Long-term octreotide administration
D.	Primary radiotherapy
Answer:A
For the patient in the preceding question, an insulin/glucose ratio of 0.5 was documented at 28 hours of fasting. Symptoms of mental obtundation developed concurrently and were reversed by oral glucose administration. Endoscopic ultrasonography demonstrated a 1.2 cm mass in the head of the pancreas. Appropriate management consists of which of the following?
A.	Surgical enucleation of the tumor B.	Total pancreatectomy C.	Long-term octreotide administration D.	Primary radiotherapy