EUS-guided ethanol ablation of metastatic functional insulinoma.
Abbreviations:EA (ethanol ablation), NET (neuroendocrine tumor)
- •Ethanol 95% to 99% is most preferred.
- •Both 22-gauge and 25-gauge EUS needles can be used.
- •A 1.0 to 3.0 mL syringe is used for precise injection.
- •Mixing lipiodol can be helpful in evaluating complete response on CT after the procedure.
- •Antibiotics are not recommended before or after the procedure.
- •Keep the needle inside the tumor during injection.
- •Observe hyperechoic blush under EUS guidance in real time.
- •Do not inject too much ethanol (2 mL maximum in each session).
- •Minimize ethanol leakage into the surrounding normal area.
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- EUS-guided ethanol ablation of insulinomas.Medicine (Baltimore). 2014; 93: e85
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