Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis
Author(s) -
Scott M. Thompson,
Adrian Vella,
Geoffrey B. Thompson,
Kandelaria M. Rumilla,
F. John Service,
Clive S. Grant,
James C. Andrews
Publication year - 2015
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2015-2404
Subject(s) - insulinoma , nesidioblastosis , medicine , hyperinsulinemic hypoglycemia , hypoglycemia , endocrinology , insulin , gastroenterology , cardiology
In adult patients with endogenous hyperinsulinemic hypoglycemia and negative or inconclusive noninvasive imaging, insulinoma and non-insulinoma pancreatogenous hypoglycemic syndrome (NIPHS) resulting from diffuse nesidioblastosis must be considered in the differential diagnosis. It is not known whether the biochemical results of selective arterial calcium stimulation (SACST) with hepatic venous sampling can differentiate insulinoma from diffuse nesidioblastosis.
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