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dc.contributor.authorGraf, A
dc.contributor.authorSarlos, S
dc.contributor.authorFarrell, SG
dc.contributor.authorMacIsaac, RJ
dc.contributor.authorInder, WJ
dc.contributor.authorSachithanandan, N
dc.date.accessioned2021-06-23T04:03:16Z
dc.date.available2021-06-23T04:03:16Z
dc.date.issued2020-05-01
dc.identifier.citationGraf, A., Sarlos, S., Farrell, S. G., MacIsaac, R. J., Inder, W. J. & Sachithanandan, N. (2020). Selective intra-arterial calcium stimulation test for the localization of insulinomas: an Australian hospital experience. ANZ JOURNAL OF SURGERY, 90 (12), pp.E172-E176. https://doi.org/10.1111/ans.15913.
dc.identifier.issn1445-1433
dc.identifier.urihttp://hdl.handle.net/11343/275702
dc.description.abstractBACKGROUND: Insulinomas are rare tumours of the pancreas and the most common cause of hypoglycaemia in non-diabetic adults. They can be cured by surgery but require precise localization. The aim of this study was to assess the utility of the selective intra-arterial calcium stimulation test (SIACST) in patients with an insulinoma to correctly localize the tumour. METHODS: Medical records of patients with a diagnosis of insulinoma or who underwent an SIACST were retrospectively reviewed. Localization of lesions by SIACST was compared to endoscopic ultrasound and radionuclide imaging studies and verified against findings at surgery. RESULTS: A total of 24 patients (mean age 58 years, 16 females, 20 with insulinoma) underwent SIACST. The SIACST correctly localized the insulinoma in 17 of 20 patients (85%). Localization rate for computed tomography was 55% and 75% for endoscopic ultrasound and glucagon-like peptide-1 receptor scan. CONCLUSION: SIACST provided incremental diagnostic information in patients with insulinoma who had equivocal non-invasive imaging preoperatively. This technique remains an essential diagnostic tool when a lesion is not localized by other methods.
dc.languageEnglish
dc.publisherWILEY
dc.titleSelective intra-arterial calcium stimulation test for the localization of insulinomas: an Australian hospital experience
dc.typeJournal Article
dc.identifier.doi10.1111/ans.15913
melbourne.affiliation.departmentUniversity General
melbourne.affiliation.departmentMedical Education
melbourne.affiliation.departmentSurgery (Austin & Northern Health)
melbourne.affiliation.departmentMedicine (St Vincent's)
melbourne.affiliation.facultyUniversity Services
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleANZ Journal of Surgery
melbourne.source.volume90
melbourne.source.issue12
melbourne.source.pagesE172-E176
melbourne.elementsid1448124
melbourne.contributor.authorSachithanandan, Nirupa
melbourne.contributor.authorMacIsaac, Richard
melbourne.contributor.authorFarrell, Stephen
melbourne.contributor.authorInder, Warrick
dc.identifier.eissn1445-2197
melbourne.accessrightsOpen Access


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