Schnack Christina, Hansen Carina Ørts, Beck-Nielsen Henning, Mortensen Per Michael Bau
Kirurgisk Afdeling A, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.
Ugeskr Laeger. 2012 Feb 20;174(8):501-2.
The efficacy and safety of endoscopic ultrasound (EUS)-guided alcohol ablation of an insulinoma in a patient not candidate for surgery is being evaluated. A 89 year-old male patient with insulinoma and serious cardiac disease was treated with EUS-guided alcohol ablation. The only complication was a slight degree of pancreatitis. Two months after the ablation values of plasma glucose and serum pro-insulin were normalized. EUS-guided alcohol ablation is a safe and efficient alternative to surgical resection of insulinomas in poor surgical candidates.
正在评估内镜超声（EUS）引导下酒精消融术治疗不宜手术的胰岛素瘤患者的疗效和安全性。一名患有胰岛素瘤且有严重心脏病的89岁男性患者接受了EUS引导下酒精消融术治疗。唯一的并发症是轻度胰腺炎。消融术后两个月，血糖和血清胰岛素原水平恢复正常。对于手术条件较差的胰岛素瘤患者，EUS引导下酒精消融术是一种安全有效的手术切除替代方法。
