A report of a gastrinoma localized preoperatively by endoscopic ultrasound only and a review of the approach to imaging in Zollinger-Ellison syndrome

Dig Dis. 1999;17(5-6):316-8. doi: 10.1159/000016957.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Endosonography*
  • Gastrinoma / diagnostic imaging*
  • Gastrinoma / etiology
  • Humans
  • Male
  • Pancreatic Neoplasms / diagnostic imaging*
  • Pancreatic Neoplasms / etiology
  • Preoperative Care
  • Radionuclide Imaging
  • Receptors, Somatostatin
  • Sensitivity and Specificity
  • Zollinger-Ellison Syndrome / complications*

Substances

  • Receptors, Somatostatin