Successful Endoscopic Ultrasound-Guided Alcohol Ablation of Sporadic Insulinoma Using Three-Dimensional Targeting (with Video)
نویسندگان
چکیده
Surgical resection is considered the standard of care in the management of symptomatic insulinoma. In this video, we describe the successful management of a symptomatic insulinoma by using linear array endoscopic ultrasound (EUS)-guided ethanol ablation in a poor surgical candidate. EUS-guided ethanol ablation of insulinoma offers a safer, effective, and less invasive alternative to surgery.
منابع مشابه
Case Report November 16.indd
Kirbylee K. Nelson, MD1 Asif M. Lakha, MD2 Cynthia L. Harris, MD, FASGE3 1Department of Internal Medicine, University of South Florida Morsani College of Medicine 2Department of Endoscopic Oncology, University of South Florida Morsani College of Medicine 3Department of Endoscopic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL Acknowledgements: Mokenge P. Malafa, MD and...
متن کاملPET and MRI-guided focused ultrasound surgery for hypoxic-tissue ablation combined with radiotherapy in solid tumors
Background: The rationale was to develop an ablation approach to destroy regions of tumor resistant to radiation and thus reduce the time required for whole tumor ablation, while improving overall tumor control after radiotherapy. Materials and Methods: The system is composed of a micro positron emission tomography (mPET), 7T magnetic resonance imaging (MRI), and a customized MRI-compatible foc...
متن کاملEndoscopic ultrasound-guided ethanol ablation of a symptomatic sporadic insulinoma.
neuroendocrine tumor (NET) which may lead to symptomatic fasting hypoglycemia. These often small lesions are primarily located in the pancreas. Endoscopic ultrasonography (EUS) has been found to be the optimal diagnostic modality for NET identification. Surgical resection of the tumor is the mainstay of therapy for an insulinoma. However, for a small subset of patients, particularly those who a...
متن کاملEUS-Guided Ethanol Ablation of Insulinomas
Surgical resection is a standard treatment for insulinomas; however, it is associated with a high risk of complications and limited to specific suitable candidates. In recent years, endoscopic ultrasound (EUS)-guided ethanol ablation of insulinomas has emerged as a new therapeutic option, especially for elderly patients and candidates unfit for surgery. We aimed to evaluate the feasibility and ...
متن کاملSuccessful management of a sporadic pancreatic insulinoma by endoscopic ultrasound-guided radiofrequency ablation.
A 70-year-old woman presented with an 18-month history of recurrent episodes of dizziness that were alleviated by sugary drinks. During one of these episodes, a low blood glucose of 1.6mmol/L was noted. Her past medical history included atrial fibrillation and severe chronic obstructive pulmonary disease (COPD), necessitating long-term oxygen therapy. Given the high index of suspicion of sponta...
متن کامل