Endoscopy 2020; 52(S 01): S94-S95
DOI: 10.1055/s-0040-1704287
ESGE Days 2020 oral presentations
Friday, April 24, 2020 11:00 – 13:00 Pancreatic solid tumors Liffey Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC ULTRASOUND (EUS)-GUIDED RADIOFREQUENCY ABLATION (RFA) OF A SYMPTOMATIC PANCREATIC INSULINOMA

G Rossi
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
MC Petrone
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
G Capurso
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
S Partelli
2   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Surgical Department, Milan, Italy
,
C Doglioni
3   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pathology Department, Milan, Italy
,
A Mariani
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
SGG Testoni
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
L Archibugi
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
,
PG Arcidiacono
1   Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute IRCCS Vita Salute San Raffaele University, Pancreato-Biliary Endoscopy and Endosonography Division, Milan, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    Aims EUS-RFA effectiveness and safety to induce syndrome relief in functioning neuroendocrine tumors(F-NETs) at high surgical risk (HSR)

    Methods A19-G needle(EUSRA;STARmedCo,Korea) with 5 mm-monopolar electrode, inserted in a linear therapeutic EUS-scope and connected to RFA-generator and a peristaltic pump (infusing cold saline) delivered RFA.

    Results 84years-old male at HSR with a 13-mm pancreatic tail symptomatic insulinoma was treated. 4subsequent RFA applications(12-16-12-10 seconds) at 30Watts (stop if impedance >500Ω) in 1endoscopic session were applied without complications with immediate syndrome relief. 3months-EUS showed a total not-vascularized area. Patient is still asymptomatic.

    Conclusions EUS-RFA is a useful and safe option for F-NETs at HSR.


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