Malignant insulinoma in ectopic pancreatic tissue.

Abstract:

BACKGROUND:Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. METHOD:A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on both ultrasound and somatostatin receptor scintigraphy by (111)I-labelled octreotide, was operated and investigated. RESULTS:(111)I-labelled octreotide-guided surgery was performed and a tumor adjacent to the ligament of Treitz was extirpated. Follow-up was uneventful. Histopathology revealed a malignant insulinoma. The patient is currently under close surveillance. CONCLUSION:The rare combination of an insulinoma in ectopic pancreatic tissue, where the usual diagnostic endoscopic ultrasound revealed an extrapancreatic mass, is described. This was followed by a positive somatostatin receptor scintigraphy, enabling both radio-guided surgery and future treatment of developing recurrent disease or metastases.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Hennings J,Garske U,Botling J,Hellman P

doi

10.1159/000090998

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

377-9

issue

5

eissn

0253-4886

issn

1421-9883

pii

90998

journal_volume

22

pub_type

杂志文章
  • Treatment of colorectal anastomotic leakage: results of a questionnaire amongst members of the Dutch Society of Gastrointestinal Surgery.

    abstract::Anastomotic leakage after colorectal surgery is correlated with considerable morbidity and mortality. Although many studies focus on risk factors and detection, studies on the treatment strategy for colorectal anastomotic leakage are scarce. A national questionnaire amongst 350 members of the Dutch Society for Gastroi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000346348

    authors: Daams F,Slieker JC,Tedja A,Karsten TM,Lange JF

    更新日期:2012-01-01 00:00:00

  • Posthepatectomy bile leakage: how to manage.

    abstract:BACKGROUND:Biliary leakage after liver resection continues to be reported. Management of bile leakage has changed in recent years, with nowadays non-surgical procedures as the preferred treatment. METHODS:Biliary leakage and management were assessed in 381 patients who underwent liver resection between January 2005 an...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000335734

    authors: Hoekstra LT,van Gulik TM,Gouma DJ,Busch OR

    更新日期:2012-01-01 00:00:00

  • Systemic Inflammation Score as a Predictor of Pneumonia after Radical Resection of Gastric Cancer: Analysis of a Multi-Institutional Dataset.

    abstract:BACKGROUND:Curative treatment for gastric cancer (GC) comprising gastrectomy with systematic lymph node dissection can result in postoperative complications. Postoperative pneumonia is sometimes fatal, like surgery-related complications such as anastomotic leakage. In this retrospective study, we analyzed a multi-insti...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000506940

    authors: Shoka M,Kanda M,Ito S,Mochizuki Y,Teramoto H,Ishigure K,Murai T,Asada T,Ishiyama A,Matsushita H,Tanaka C,Kobayashi D,Fujiwara M,Murotani K,Kodera Y

    更新日期:2020-01-01 00:00:00

  • Carcinoma of the colon metastatic to the lower gingiva.

    abstract::A case of carcinoma of the colon that metastasized to the lower gingiva is described. The patient who had carcinoma of the colon developed a proliferating lesion at the site of a recent tooth extraction. A few days later, the primary site of the malignancy appeared. The clinical features in such cases were reviewed in...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050166

    authors: Tomikawa M,Higuchi Y,Saku M,Takeshita M,Yoshida K,Sugimachi K

    更新日期:2001-01-01 00:00:00

  • Fatal intestinal perforation secondary to fragmentation of a Celestin tube.

    abstract:BACKGROUND/AIMS:Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. METHODS:A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018886

    authors: Evans JD,Halloran CM,Mansour P,Zeiderman MR

    更新日期:2000-01-01 00:00:00

  • A simple novel model to predict hospital mortality, surgical site infection, and pneumonia in elderly patients undergoing operation.

    abstract:BACKGROUND/AIMS:Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. METHODS:A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. R...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000274485

    authors: Huang TS,Hu FC,Fan CW,Lee CH,Jwo SC,Chen HY

    更新日期:2010-08-01 00:00:00

  • Laparoscopic cholecystectomy to treat patients with asymptomatic gallstones.

    abstract:BACKGROUND/AIMS:The management of patients with silent or asymptomatic gallstones remains controversial. The objective of this study is to determine the complications of laparoscopic cholecystectomy performed to treat patients under 50 years of age with asymptomatic gallstones. METHOD:207 patients, 13-49 years of age ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018876

    authors: Coelho JC,Vizzoto AO,Salvalaggio PR,Tolazzi AR

    更新日期:2000-01-01 00:00:00

  • Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms.

    abstract:BACKGROUND:The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. METHODS:Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. RESULTS:There were 64 patients consisting of 39 women (60.9%) and 25 men...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000442094

    authors: Gomatos IP,Halloran C,Ghaneh P,Raraty M,Polydoros F,Campbell F,Evans J,Sutton R,Garry J,Whelan P,Neoptolemos JP

    更新日期:2016-01-01 00:00:00

  • Chyle leakage and early enteral feeding following pancreatico-duodenectomy: management options.

    abstract:BACKGROUND:Chyle leaks are a rare complication following abdominal surgery. The aim of this study is to describe the management of chyle leaks following surgery for pancreatico-duodenal malignancy. METHODS:Data were collated from a consecutive series of 105 patients who had undergone a pancreatico-duodenectomy for mal...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000108324

    authors: Malik HZ,Crozier J,Murray L,Carter R

    更新日期:2007-01-01 00:00:00

  • Characteristics and evolution of extraintestinal manifestations associated with ulcerative colitis after proctocolectomy.

    abstract:AIMS:Describe the characteristics of extraintestinal manifestations complicating ulcerative colitis present preoperatively and determine their evolution after surgery. METHODS:Between 1976 and 1986, 281 patients with ulcerative colitis exhibiting one or more extraintestinal manifestations (EIM) before either IPAA (n =...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050097

    authors: Goudet P,Dozois RR,Kelly KA,Ilstrup DM,Phillips SF

    更新日期:2001-01-01 00:00:00

  • Influence of the route of reconstruction on morbidity, mortality and local recurrence after esophagectomy for cancer.

    abstract:BACKGROUND:A choice of retrosternal or orthotopic route for reconstruction exists after three-phase esophagectomy with cervical anastomosis. Whether the route of reconstruction affects postoperative morbidity, mortality and recurrence patterns remains controversial. STUDY DESIGN:Patients with cancer of the thoracic es...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000070387

    authors: Wong AC,Law S,Wong J

    更新日期:2003-01-01 00:00:00

  • Long-term results of percutaneous radiofrequency ablation of unresectable colorectal hepatic metastases: final outcomes.

    abstract:INTRODUCTION:Percutaneous radiofrequency ablation (PcRFA) provides alternative means of treating patients with unresectable colorectal liver metastases. We previously reported our initial experience in 30 patients treated with PcRFA. We present the final long-term results in these 30 patients. METHODS:The final outcom...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000107717

    authors: Suppiah A,White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Hartley JE,Monson JR

    更新日期:2007-01-01 00:00:00

  • A systematic review of the efficacy of gum chewing for the amelioration of postoperative ileus.

    abstract:BACKGROUND:Recent trials have shown promising results for the efficacy of gum chewing for the amelioration of postoperative ileus. This finding could have a major clinical impact since gum chewing is relatively harmless and cheap while postoperative ileus has a significant impact on healthcare. METHODS:Systematic revi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000117822

    authors: de Castro SM,van den Esschert JW,van Heek NT,Dalhuisen S,Koelemay MJ,Busch OR,Gouma DJ

    更新日期:2008-01-01 00:00:00

  • Mesenteric and portal vein gas: computerized tomography findings and clinical significance.

    abstract:BACKGROUND:Gas in the mesenteric or portal veins (PVG) is an uncommon entity. It was first described only in patients with mesenteric ischemia and bowel gangrene. Later, several reports described other causes for PVG in which conservative treatment was successful. In the past, the diagnosis was made by vague signs in a...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000069388

    authors: Paran H,Epstein T,Gutman M,Shapiro Feinberg M,Zissin R

    更新日期:2003-01-01 00:00:00

  • Electrocoagulation of perianal warts: a word of caution.

    abstract:BACKGROUND:Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option. METHOD:A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stric...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018856

    authors: Ammori BJ,Ausobsky JR

    更新日期:2000-01-01 00:00:00

  • Prevention of infectious complications in surgical patients: potential role of probiotics.

    abstract::Infectious complications in surgical patients often originate from the intestinal microflora. In the critically ill patient, small bowel motility is disturbed, leading to bacterial overgrowth and subsequent bacterial translocation due to dysfunction of the gut mucosal barrier. The optimal prophylactic strategy should ...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000088053

    authors: Besselink MG,Timmerman HM,van Minnen LP,Akkermans LM,Gooszen HG

    更新日期:2005-01-01 00:00:00

  • Impact of blood loss on outcome after liver resection.

    abstract::Partial liver resections are the treatment of choice for patients with a malignant liver or bile duct tumor. The most frequent indications for partial liver resections are colorectal metastasis, hepatocellular carcinoma (HCC) and cholangiocarcinoma. Liver resection is the only therapy with a chance for cure in these p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000103656

    authors: de Boer MT,Molenaar IQ,Porte RJ

    更新日期:2007-01-01 00:00:00

  • Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

    abstract::One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pou...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000068855

    authors: Negi SS,Chaudhary A,Gondal R

    更新日期:2003-01-01 00:00:00

  • Nutritional Recovery after Open and Laparoscopic Distal Gastrectomy for Early Gastric Cancer: A Prospective Multicenter Comparative Trial (CCOG1204).

    abstract:BACKGROUND:Little information from prospective clinical trials is available on the influences of surgical approaches on postoperative body compositions and nutritional status. We designed a prospective non-randomized trial to compare postoperative chronological changes in body composition and nutritional status between...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000458714

    authors: Matsushita H,Tanaka C,Murotani K,Misawa K,Ito S,Ito Y,Kanda M,Mochizuki Y,Ishigure K,Yaguchi T,Teramoto J,Nakayama H,Kawase Y,Fujiwara M,Kodera Y

    更新日期:2018-01-01 00:00:00

  • Transhepatic placement of an enteral stent to treat jaundice in a tumor recurrence obstructed afferent loop after a whipple procedure.

    abstract::Tumour recurrence that obstructs the afferent limb, blocking outflow of bile and pancreatic juice, constitutes a major clinical problem after a Whipple procedure. The endoscopic route is often not a possible alternative. Surgery may be difficult and perhaps dangerous to the often very sick patient and decompression wi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000071760

    authors: Johnsson E,Delle M,Lundell L,Liedman B

    更新日期:2003-01-01 00:00:00

  • Muir-Torre syndrome: a case for surveillance of the ampulla of Vater.

    abstract::A 64-year-old man with Muir-Torre syndrome (MTS), a condition characterized by the association of multiple sebaceous tumours and kerato-acanthomas with internal malignancies, developed a carcinoma of the ampulla of Vater. This is the 2nd reported ampullary carcinoma in 205 reported cases of MTS, suggesting a higher pr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000052010

    authors: Matthews JJ,Roberts R,O'Reilly DA,Schick S,Kingsnorth AN

    更新日期:2002-01-01 00:00:00

  • Hyperintense basal ganglia on T1-weighted magnetic resonance images following postoperative parenteral nutrition in a pancreatoduodenectomized patient.

    abstract::The authors reported the magnetic resonance imaging (MRI) detection of manganese (Mn) deposition in the basal ganglia of a pancreatoduodenectomized patient following 30-day parenteral nutrition. A multi-trace element supplement solution including 20 micromol Mn/day was parenterally administered for 30 days postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018830

    authors: Iwase K,Kondoh H,Higaki J,Tanaka Y,Yoshikawa M,Hori S,Osuga K,Kamiike W

    更新日期:2000-01-01 00:00:00

  • Behçet's disease and diverticulosis.

    abstract::Behçet's disease (BD) is a multisystem disorder characterized by vasculitis. The aim of this report is to present a patient with BD and diverticular disease of the colon and discuss the possible association between BD and diverticulosis. To our knowledge, diverticular disease of the colon has not been previously repor...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050185

    authors: Sahan C,Akpolat T,Uçer T,Güner E,Dilek M,Danaci M

    更新日期:2001-01-01 00:00:00

  • Total gastrectomy is not always necessary for advanced gastric cancer of the cardia.

    abstract:BACKGROUND:It is unclear whether total gastrectomy (TG) is always necessary for gastric cancer of the cardia. We therefore investigated whether cardiac cancers treated by TG would have been cured by proximal gastrectomy (PG). METHODS:Photocopies of the resected stomachs of 55 patients who had received TG for cardiac c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000052000

    authors: Kobayashi T,Sugimura H,Kimura T

    更新日期:2002-01-01 00:00:00

  • Plasma lipids and lipoprotein changes after biliopancreatic diversion for morbid obesity.

    abstract:BACKGROUND:The reduction in plasma cholesterol with increase in large and lower dense LDL (pattern A) obtained by statins is usually associated with a prompt reduction in cardiovascular risk, but after bariatric surgery for morbid obesity a delay of some years is observed. No data regarding LDL pattern are available in...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000068861

    authors: Brizzi P,Angius MF,Carboni A,Cossu ML,Fais E,Noya G,Maioli M,Tonolo G

    更新日期:2003-01-01 00:00:00

  • Percutaneous radiofrequency ablation of colorectal hepatic metastases - initial experience. An adjunct technique to systemic chemotherapy for those with inoperable colorectal hepatic metastases.

    abstract:BACKGROUND AND AIM:Most patients with hepatic metastases from colorectal carcinoma are unsuitable for resection. Radiofrequency ablation (RFA) has been applied to such lesions at laparotomy. This study aimed to evaluate the less invasive approach of percutaneous RFA. METHOD:Patients with unresectable liver metastases ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000080886

    authors: White TJ,Roy-Choudhury SH,Breen DJ,Cast J,Maraveyas A,Smyth EF,Hartley JE,Monson JR

    更新日期:2004-01-01 00:00:00

  • Surgery for Crohn's disease: new developments.

    abstract:BACKGROUND/AIMS:Crohn's disease is a chronic relapsing inflammatory bowel disease requiring surgery in a large number of patients. This review describes new developments in surgical techniques for treating Crohn's disease. RESULTS:Single-incision laparoscopic surgery decreases abdominal wall trauma by reducing the num...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000341567

    authors: Gardenbroek TJ,Tanis PJ,Buskens CJ,Bemelman WA

    更新日期:2012-01-01 00:00:00

  • Management of T tubes for common bile duct stones: a new technique.

    abstract:BACKGROUND:The optimal treatment of common bile duct (CBD) stones is controversial, and depends on local expertise, the patient's medical condition and the time of diagnosis. Current practice entails a wide variation in the duration of leaving T tubes in place, anywhere from 7 to 30 days, and in the time to postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018612

    authors: Stein DE,Sclafani SJ,Kral JG

    更新日期:1998-01-01 00:00:00

  • Morphology, viability and functions of suckling pig hepatocytes cultured in serum-free medium at high density.

    abstract:BACKGROUND:In bioartificial liver preparation, serum-contained medium is ordinarily replaced by serum-free medium and hepatocytes are generally cultured at high density. This study was to undertaken to evaluated the dynamic changes in morphology, viability and functions of porcine hepatocytes in serum-free medium at hi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000064211

    authors: Chen Z,Ding Y,Zhang H

    更新日期:2002-01-01 00:00:00

  • Differences in Post-Cholecystectomy Bile Duct Injury Care: A Comparative Analysis of 2 Different Health-Care Public Institutions in a Low- and Middle-Income Country: Southeast Mexico.

    abstract:BACKGROUND:Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. METHODS:Retrospective review (2008-2019) in 2 p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000509706

    authors: Martínez-Mier G,Moreno-Ley PI,Esquivel-Torres S,Gonzalez-Grajeda JL,Mendez-Rico D

    更新日期:2020-01-01 00:00:00