Endoscopic ultrasound-guided fine needle injection (EUS-FNI): Alternative option for the treatment of pancreatic insulinomas

Introduction: Endoscopic ultrasound is the most accurate and sensitive imaging modality for the diagnosis and staging of pancreatic cancer. EUS-guided fine needle injection already used for palliative intervention such as deliver specific anti-tumor agents for the local control of tumor growth in patients with unresectable solid malignancies. Surgical resection is currently the standard treatment for pancreatic insulinomas. Medical treatment (octreotid, diazoxide) may be necessary for symptomatic patients with unresectable disease or for poor surgical candidates. In this cases the EUS-guided alcoholic ablation i…