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Updated: Jun 27, 2026
05:42
Robotic Enucleation of an Intra-Pancreatic Insulinoma in the Pancreatic Head
Published on: January 3, 2020
Preoperative detection of insulinomas: two case reports
Mesut Ozkaya1, Mehmet Fatih Yuzbasioglu, Irfan Koruk
1Department of General Surgery, Sutcu Ymam University Medical Faculty, Kahramanmaras, Turkey. f_yuzbasioglu@hotmail.com.
Cases Journal
|December 2, 2008
Summary
Endoscopic ultrasonography (EUS) effectively detected benign pancreatic insulinomas in two patients, aiding surgical planning. This imaging method proved crucial when other modalities failed for localization, leading to successful patient outcomes.
Area of Science:
- Endocrinology
- Gastroenterology
- Surgical Oncology
Background:
- Insulinoma, the most frequent pancreatic endocrine tumor, necessitates precise preoperative localization for surgical candidate selection.
- Accurate preoperative imaging is critical for successful surgical intervention in cases of insulinoma.
Purpose of the Study:
- To evaluate the efficacy of endoscopic ultrasonography (EUS) in the preoperative detection and localization of benign pancreatic insulinomas.
- To compare the utility of EUS with other imaging modalities for insulinoma localization.
Main Methods:
- The study involved two cases of suspected benign pancreatic insulinoma.
- Endoscopic ultrasonography (EUS) was utilized as a primary preoperative imaging modality.
- Comparison with other unspecified imaging modalities was performed.
Main Results:
- EUS successfully detected and localized insulinomas in both presented cases prior to surgery.
- Other imaging modalities were insufficient for accurate insulinoma localization in these patients.
- Both patients remained asymptomatic postoperatively, with no recurrence of hypoglycemia on fasting.
Conclusions:
- EUS is a highly sensitive and well-tolerated imaging method for preoperative localization of pancreatic insulinomas.
- EUS can be superior to other imaging modalities for insulinoma detection, especially in challenging cases.
- Successful preoperative localization via EUS contributes to favorable surgical outcomes and patient recovery.
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