Endoscopic ultrasound-guided fine needle injection (EUS-FNI): Alternative option for the treatment of pancreatic insulinomas

2014 ◽  
Vol 52 (05) ◽  
Author(s):  
R Bor ◽  
K Farkas ◽  
A Bálint ◽  
Á Milassin ◽  
F Nagy ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Alternative Option ◽  
Fine Needle Injection ◽  
Needle Injection

scholarly journals Endoscopic ultrasound-guided fine needle injection of alcohol for ablation of an insulinoma: a well documented successful procedure

Endoscopy ◽  
2019 ◽  
Vol 51 (03) ◽  
pp. E57-E58 ◽  
Author(s):  
Flávio Silva ◽  
Rogério Colaiacovo ◽  
Osvaldo Araki ◽  
Anna Fernanda Domene ◽  
José Lima Junior ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Fine Needle Injection ◽  
Needle Injection

Endoscopic ultrasound-guided fine needle injection: alternative option for the treatment of pancreatic insulinoma. Case report

2014 ◽  
Vol 155 (41) ◽  
pp. 1647-1651 ◽  
Author(s):  
Renáta Bor ◽  
Klaudia Farkas ◽  
Anita Bálint ◽  
Tamás Molnár ◽  
Ferenc Nagy ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Endoscopic Ultrasound ◽  
Elevated Serum ◽  
Ultrasound Guided ◽  
Alcohol Injection ◽  
Fine Needle ◽  
Disease Case ◽  
Pancreatic Insulinoma ◽  
Fine Needle Injection ◽  
Needle Injection

Endoscopic ultrasound is the most accurate imaging modality for the diagnosis of pancreatic cancer, and endoscopic ultrasound-guided fine needle injection has already been used for palliative interventions. Surgical resection is currently the standard treatment for pancreatic insulinoma. Medical treatment may be necessary for symptomatic patients with unresectable disease. Case reports have been published about the success of endoscopic ultrasound-guided alcoholic ablation, but it has not been reported previously in Hungarian literature. The authors present the history of an 83-year-old woman who was evaluated because of repeated hypoglycemic coma occurring during the night. Endosonographic image and laboratory findings (elevated serum insulin and chromogranin A) revealed pancreatic insulinoma. Because of severe comorbidities and high risk of surgical resection, the decision was made to ablate the insulinoma by endoscopic ultrasound-guided alcohol injection. A total of 3 mL 95% ethanol was injected into the tumor. Despite the discontinuation of the diazoxide therapy the hypoglycemic episodes disappeared. This case history confirms that endoscopic ultrasound-guided alcoholic ablation is a novel, minimal invasive alternative treatment for patients with pancreatic neuroendocrine tumors in whom surgery is not feasible. Orv. Hetil., 2014, 155(41), 1647–1651.

Endoscopic Ultrasound-Guided Fine-Needle Injection

ERCP and EUS ◽  
2015 ◽  
pp. 551-573
Author(s):  
Jason B. Samarasena ◽  
Jason Yan-Lin Huang ◽  
Muhammad F. Dawwas ◽  
Kenneth J. Chang
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Fine Needle Injection ◽  
Needle Injection
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