Open AccessThe management of insulinoma
Author(s) -
Tucker O. N.,
Crotty P. L.,
Conlon K. C.
Publication year - 2006
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1002/bjs.5280
Subject(s) - insulinoma , medicine , presentation (obstetrics) , medline , radiology , cochrane library , resection , modalities , ultrasonography , general surgery , pancreas , surgery , meta analysis , pathology , social science , sociology , political science , law
Background: Insulinomas are rare tumours. Their clinical presentation, localization techniques and operative management were reviewed. Methods: An electronic search of the Medline, Embase and Cochrane databases was undertaken for articles published between January 1966 and June 2005 on the history, presentation, clinical evaluation, use of imaging techniques for tumour localization and operative management of insulinoma. Results and conclusion: Most insulinomas are intrapancreatic, benign and solitary. Biochemical diagnosis is obtained during a supervised 72‐h fast. Non‐invasive preoperative imaging techniques to localize lesions continue to evolve. Intraoperative ultrasonography can be combined with other preoperative imaging modalities to improve tumour detection. Surgical resection is the treatment of choice. In the absence of preoperative localization and intraoperative detection of an insulinoma, blind pancreatic resection is not recommended. Copyright © 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.