Abstract
In a prospective study endoscopic ultrasound localisation of pancreatic endocrine tumours was attempted in 21 patients with clinically suspected islet cell tumours. Most patients were referred after the failure of conventional imaging methods. Endoscopic ultrasound correctly identified the site of 12 of 15 insulinomas, one glucagonoma, and a diffuse pancreatic abnormality in a patient with multiple endocrine adenopathy. There were two true negative examinations and one technical failure. The sensitivity of endoscopic ultrasound was much greater than that of computed tomography or conventional transabdominal ultrasonography.
Full text
PDF![108](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc03/1373874/1ce63507479a/gut00568-0130.png)
![109](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc03/1373874/a86cfeeda556/gut00568-0131.png)
![110](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc03/1373874/03df17bbc8db/gut00568-0132.png)
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Charboneau J. W., James E. M., Van Heerden J. A., Grant C. S., Sheedy P. F., 2nd Intraoperative real-time ultrasonographic localization of pancreatic insulinoma: initial experience. J Ultrasound Med. 1983 Jun;2(6):251–254. doi: 10.7863/jum.1983.2.6.251. [DOI] [PubMed] [Google Scholar]
- Doppman J. L., Brennan M. F., Dunnick N. R., Kahn C. R., Gorden P. The role of pancreatic venous sampling in the localization of occult insulinomas. Radiology. 1981 Mar;138(3):557–562. doi: 10.1148/radiology.138.3.6258193. [DOI] [PubMed] [Google Scholar]
- Frucht H., Doppman J. L., Norton J. A., Miller D. L., Dwyer A. J., Frank J. A., Vinayek R., Maton P. N., Jensen R. T. Gastrinomas: comparison of MR imaging with CT, angiography, and US. Radiology. 1989 Jun;171(3):713–717. doi: 10.1148/radiology.171.3.2655004. [DOI] [PubMed] [Google Scholar]
- Galiber A. K., Reading C. C., Charboneau J. W., Sheedy P. F., 2nd, James E. M., Gorman B., Grant C. S., van Heerden J. A., Telander R. L. Localization of pancreatic insulinoma: comparison of pre- and intraoperative US with CT and angiography. Radiology. 1988 Feb;166(2):405–408. doi: 10.1148/radiology.166.2.2827232. [DOI] [PubMed] [Google Scholar]
- Gianello P., Gigot J. F., Berthet F., Dardenne A. N., Lambotte L., Rahier J., Otte J. B., Kestens P. J. Pre- and intraoperative localization of insulinomas: report of 22 observations. World J Surg. 1988 Jun;12(3):389–397. doi: 10.1007/BF01655682. [DOI] [PubMed] [Google Scholar]
- Gorman B., Charboneau J. W., James E. M., Reading C. C., Galiber A. K., Grant C. S., van Heerden J. A., Telander R. L., Service F. J. Benign pancreatic insulinoma: preoperative and intraoperative sonographic localization. AJR Am J Roentgenol. 1986 Nov;147(5):929–934. doi: 10.2214/ajr.147.5.929. [DOI] [PubMed] [Google Scholar]
- Grant C. S., van Heerden J., Charboneau J. W., James E. M., Reading C. C. Insulinoma. The value of intraoperative ultrasonography. Arch Surg. 1988 Jul;123(7):843–848. doi: 10.1001/archsurg.1988.01400310057009. [DOI] [PubMed] [Google Scholar]
- Norton J. A., Cromack D. T., Shawker T. H., Doppman J. L., Comi R., Gorden P., Maton P. N., Gardner J. D., Jensen R. T. Intraoperative ultrasonographic localization of islet cell tumors. A prospective comparison to palpation. Ann Surg. 1988 Feb;207(2):160–168. doi: 10.1097/00000658-198802000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Parkman H. P., Malet P. F., Ogorek C. P., Burke D. R., Deveney C. W. Preoperative localization of a vasoactive intestinal peptide-secreting tumor by transhepatic portal venous sampling. Am J Gastroenterol. 1988 May;83(5):559–563. [PubMed] [Google Scholar]
- Rossi P., Allison D. J., Bezzi M., Kennedy A., Maccioni F., Wynick D., Maradei A., Bloom S. R. Endocrine tumors of the pancreas. Radiol Clin North Am. 1989 Jan;27(1):129–161. [PubMed] [Google Scholar]
- Sigel B., Duarte B., Coelho J. C., Nyhus L. M., Baker R. J., Machi J. Localization of insulinomas of the pancreas at operation by real-time ultrasound scanning. Surg Gynecol Obstet. 1983 Feb;156(2):145–147. [PubMed] [Google Scholar]
- Wank S. A., Doppman J. L., Miller D. L., Collen M. J., Maton P. N., Vinayek R., Slaff J. I., Norton J. A., Gardner J. D., Jensen R. T. Prospective study of the ability of computed axial tomography to localize gastrinomas in patients with Zollinger-Ellison syndrome. Gastroenterology. 1987 Apr;92(4):905–912. doi: 10.1016/0016-5085(87)90963-2. [DOI] [PubMed] [Google Scholar]