[Preoperative localization in organic hyperinsulinism--useful or superfluous].
In our own patient material (n = 43) the percutane sonography had a sensitivity of 61.9%, the CT 73.3%, the angiography 66.6% and the PTP 76.9%. Intraoperatively 95.2% of all insulinomas were palpable and the intraoperative sonography (IOS) had a sensitivity of 81.2%. In Germany all clinics except for one recommended a sonography and a CT and 83.8% an angiography prior to the first operation. A preoperative localization diagnostic is therefore not absolutely necessary, but may however be helpful in single cases.
Böttger
T
T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität, Mainz.
Weber
W
W
Beyer
J
J
Junginger
T
T
D003952:Diagnostic Imaging; D006801:Humans; D006946:Hyperinsulinism / Q000473:pathology* / Q000601:surgery*; D007340:Insulinoma / Q000473:pathology* / Q000601:surgery*; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies