A report of a gastrinoma localized preoperatively by endoscopic ultrasound only and a review of the approach to imaging in Zollinger-Ellison syndrome.
The addition of somatostatin receptor scintigraphy and endoscopic ultrasound to the preoperative assessment of patients with Zollinger-Ellison syndrome has improved the ability to localize gastrinomas. We report a patient with Zollinger-Ellison syndrome with a gastrinoma localized preoperatively by endoscopic ultrasound only. We review the literature regarding the sensitivity of somatostatin receptor scintigraphy and endoscopic ultrasound and discuss the approach to imaging in Zollinger-Ellison syndrome.
Bloomfeld
R
R
Division of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, N.C., USA. bloom005@mc.duke.edu
Bornstein
J
J
Jowell
P
P
D000328:Adult; D003937:Diagnosis, Differential; D019160:Endosonography; D015408:Gastrinoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000209:etiology; D011300:Preoperative Care; D011877:Radionuclide Imaging; D017481:Receptors, Somatostatin; D012680:Sensitivity and Specificity; D015043:Zollinger-Ellison Syndrome / Q000150:complications*
D017481:Receptors, Somatostatin