1992
DOI: 10.1148/radiology.182.1.1727289
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Zollinger-Ellison syndrome: technique, results, and complications of portal venous sampling.

Abstract: All 95 portal venous sampling (PVS) procedures performed in patients with Zollinger-Ellison syndrome in the past 10 years at the authors' institution were reviewed. It was possible to catheterize at least one branch of the pancreaticoduodenal venous arcade in all but two procedures (98%). The highest concentration of gastrin was found in a selective sample from the pancreaticoduodenal venous arcade or the transverse pancreatic vein in 56 of 91 procedures (62%). Selective sampling of pancreatic head veins yield… Show more

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Cited by 40 publications
(8 citation statements)
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“…To assess for the presence of a functional PET in addition to fasting gastrin levels, plasma insulin, proinsulin, glucose, ACTH, glucagon, pancreatic polypeptide, serotonin, calcitonin and urinary 5-hydroxyindolacetic acid, N -methyl histamine excretion and cortisol excretion were determined 24,139,141,267 . Prior to surgery in patients with insulinomas and selected patients with gastrinomas, functional localization studies were performed assessing hormonal gradients either using selective venous sampling or hepatic vein sampling after intra-arterial injections of either calcium or secretin as described previously 64,91,92,293,422 . The presence of a PET was also assessed by tumor imaging studies using cross sectional imaging (ultrasound, CT scan, MRI and, if results unclear, angiography) and SRS as described above.…”
Section: Methodsmentioning
confidence: 99%
“…To assess for the presence of a functional PET in addition to fasting gastrin levels, plasma insulin, proinsulin, glucose, ACTH, glucagon, pancreatic polypeptide, serotonin, calcitonin and urinary 5-hydroxyindolacetic acid, N -methyl histamine excretion and cortisol excretion were determined 24,139,141,267 . Prior to surgery in patients with insulinomas and selected patients with gastrinomas, functional localization studies were performed assessing hormonal gradients either using selective venous sampling or hepatic vein sampling after intra-arterial injections of either calcium or secretin as described previously 64,91,92,293,422 . The presence of a PET was also assessed by tumor imaging studies using cross sectional imaging (ultrasound, CT scan, MRI and, if results unclear, angiography) and SRS as described above.…”
Section: Methodsmentioning
confidence: 99%
“…Originally, selective sampling for hormonal gradients was performed by portal-venous-sampling (PVS) 139, 142. This method was largely replaced by selective-arterial injection of secretin (gastrinomas) or calcium (other functional PETs) with assessment of hepatic venous hormone concentrations, because it can be performed at the time of angiography, has less complications and requires less expertise, but is similarly sensitive to PVS139, 140, 143, 144.…”
Section: Tumor Localization/stagingmentioning
confidence: 99%
“…However, severe complications, which mainly related to catheterizing the portal vein, are not infrequent. Miller and colleagues reported a rate of 6% severe complications (Miller et al, 1992). For this reason and the development of other less invasive modality, i.e.…”
Section: Percutaneous Transhepatic Portal Venous Sampling (Ptpvs)mentioning
confidence: 99%