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乙醇废除良性胰岛素瘤:手术内和内镜方法

Alaa Sada¹, Dhanya Ramachandran¹, Meher Oberoi¹

¹Department of Surgery, Mayo Clinic, Rochester, Minnesota.

The Journal of surgical research

|October 15, 2023

概括

乙醇废除是胰岛素瘤的有效治疗方法,内镜超声波 (EUS) 和手术内超声波 (IOUS) 引导方法在解决低血糖症方面取得了很高的成功率. 为了获得最佳的结果,EUS可能需要多次会议.

科学领域:

内分泌学在内分泌学.
胃肠病学胃肠病学
手术瘤学手术瘤学

背景情况:

胰岛素瘤是一种罕见的胰腺神经内分泌瘤,会导致低血糖症.
乙醇切除是治疗胰岛素瘤的外科切除的替代方案.

研究的目的:

为了分析内超声波 (EUS) 和手术内超声波 (IOUS) 引导的乙醇切除胰岛素瘤的结果.

主要方法:

对16名患有良性胰腺胰岛素瘤的成人患者进行了回顾性审查,这些患者接受了乙醇废除治疗 (2007-2022年).
评估的结果包括低血糖症的解决或改善.
由EUS (N=8) 或IOUS (N=8) 指导的程序.

主要成果:

在16名患者中的11名患者 (68.75%),低血糖症的成功解决.
低血糖症的改善发生在5名患者中 (31.25%).
选择乙醇切除是为了避免胰腺切除术或由于患者的并发症.

结论:

乙醇切除是胰岛素瘤的可行的治疗选择.
无论是EUS还是IOUS指导式废弃都显示出有利的解决率.
以EUS为指导的切除可能需要多个程序以获得最佳结果.

关键词:

剥离剥离剥离酒精饮料酒精饮料酒精饮料酒精饮料乙醇乙醇是一种这是一种胰岛素瘤.

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