Review of eight cases of XXXX .

@entity1 @entity233 @entity9608 @entity5 @entity1109 @entity1320 @entity413
OBJECTIVE: To review @entity1 records operated with the diagnosis of @entity9608 and to discuss their clinical presentations, diagnostic and therapeutic modalities. DESIGN: Retrospective study. SETTING: Ankara Numune Teaching and Research Hospital, @entity233 . SUBJECTS: Eight cases were operated in the Department of 6th Surgery, Ankara Numune Teaching and Research Hospital between 1994 and 2000. All @entity1 had @entity1109 . Six @entity1 had blood @entity413 levels of lower than 50 mg/dL during the admission. The other two @entity1 had hypoglycaemia in the prolonged fasting test. Serum insulin/ @entity413 ratio was diagnostic in all @entity1 except one. Abdominal ultrasonography and computerised tomography could successfully localise the @entity5 in one case. In six @entity1 @entity5 could be localised by endoscopic pancreatic ultrasonography. In one @entity1 none of the studies could localise the @entity5 . Three @entity5 were located at the pancreatic head, one in the neck, two at the body and two at the tail. All @entity5 except one were palpable. Enucleation was the procedure of choice in four cases and distal pancreatectomy was the procedure of choice in four. RESULTS: Post-operative course was uneventful in seven @entity1 . One @entity1 died due to @entity1320 . Hypoglycaemia was controlled in all @entity1 after the surgery. CONCLUSION: Surgery is the mainstay of treatment of @entity9608 . Enucleation should be the procedure of choice if possible. Endoscopic pancreatic ultrasonography has promising results and may replace invasive angiographic studies in the future.
