Year 2021 / Volume 113 / Number 1
Original
Endoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma

48-51

DOI: 10.17235/reed.2020.7109/2020

Gabriel Mosquera-Klinger, Jhon Jaime Carvajal,

Abstract
Introduction: pancreatic insulinoma is a sporadic, usually benign, frequently solitary tumor that is smaller than 20 mm. When it is functioning, patients present with symptoms of hypoglycemia secondary to insulin hypersecretion. The diagnosis is clinical, with biochemical and radiological confirmation. Surgery is the management of choice, although endoscopic ultrasound-guided ablation is currently being developed. Material and methods: we present a prospective case series of pancreatic insulinoma patients with symptoms of severe hypoglycemia, who were treated with endoscopic ultrasound-guided ethanol ablation as an alternative to surgical management. Results: technical and clinical success was achieved in all cases and there were no complications associated with the procedure. Conclusion: the treatment of symptomatic insulinoma by endoscopic ultrasound-guided ethanol ablation could be a safe and effective alternative to surgical management in non-surgical patients or those who refuse surgery.
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Mosquera-Klinger G, Carvajal J. Endoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma. 7109/2020


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Publication history

Received: 05/04/2020

Accepted: 11/05/2020

Online First: 23/11/2020

Published: 11/01/2021

Article revision time: 34 days

Article Online First time: 232 days

Article editing time: 281 days


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