scholarly journals Mechanism of Acid Hypersecretion Post Curative Gastrinoma Resection

2010 ◽  
Vol 56 (1) ◽  
pp. 139-154 ◽  
Author(s):  
Jeremiah V. Ojeaburu ◽  
Tetsuhide Ito ◽  
Pellegrino Crafa ◽  
Cesare Bordi ◽  
Robert T. Jensen
Keyword(s):  
2001 ◽  
Vol 120 (5) ◽  
pp. A158-A158 ◽  
Author(s):  
D GILLEN ◽  
A WIRZ ◽  
K MCCOLL

1993 ◽  
Vol 38 (10) ◽  
pp. 1857-1865 ◽  
Author(s):  
Rakesh Vinayek ◽  
William F. Hahne ◽  
Arthur R. Euler ◽  
Jeffrey A. Norton ◽  
Robert T. Jensen

2006 ◽  
Vol 4 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Jeffrey A. Norton ◽  
Tony D. Fang ◽  
Robert T. Jensen

The surgical management of pancreatic endocrine tumors in patients with multiple endocrine neoplasia type 1 remains controversial. Gastrinoma and insulinoma are the 2 most common functional pancreatic neuroendocrine tumors in patients with multiple endocrine neoplasia type 1. Gastrinomas cause gastric acid hypersecretion and peptic ulcer disease that are best managed using proton pump inhibitors. Surgery to remove the gastrinoma in patients with multiple endocrine neoplasia type 1 is seldom curative unless a more extensive Whipple pancreaticoduodenectomy is performed. Because the prognosis is excellent, aggressive resections such as a Whipple procedure are only indicated for large, locally metastatic, advanced tumors. Furthermore, surgery to remove imageable tumors that are 2 cm in diameter is associated with excellent outcomes and decreased probability of liver metastases. Because gastrinomas are commonly multiple and most originate in the duodenum and develop lymph node metastases, the duodenum should be opened and all tumors and lymph nodes excised. Insulinomas cause hypoglycemia that results in neuroglycopenic symptoms. Medical management of the hypoglycemia is less effective than that of the gastric acid hypersecretion. Fortunately, the insulinoma is usually clearly identified using routine pancreatic imaging studies. There is a high likelihood of cure when the insulinoma is excised surgically. However, recurrent hypoglycemia may occur, and careful follow-up is indicated.


2003 ◽  
Vol 131 (1-2) ◽  
pp. 77-81 ◽  
Author(s):  
Dusica Simic ◽  
Nebojsa Djurisic

Short bowel syndrome most commonly result after bowel resection for necrosis of the bowel. It may be caused by arterial or venous thrombosis, volvolus and in children, necrotizing enterocolitis. The other causes are Crohn,s disease intestinal atresia. The factors influencing the risk on short bowel syndrome are the remaining length of the small bowel, the age of onset, the length of the colon, the presence or absence of the ileo-coecal valve and the time after resection. Besides nutritional deficiencies there some other consequences of extensive resections of the small intestine (gastric acid hypersecretion, d-lactic acidosis, nephrolithiasis, cholelithiasis), which must be diagnosed, treated, and if possible, prevented. With current therapy most patients with short bowel have normal body mass index and good quality of life.


2019 ◽  
Vol 76 (8) ◽  
pp. 1579-1593 ◽  
Author(s):  
Ángel G. Valdivieso ◽  
Mariángeles Clauzure ◽  
María M. Massip-Copiz ◽  
Carla E. Cancio ◽  
Cristian J. A. Asensio ◽  
...  

1993 ◽  
Vol 17 (4) ◽  
pp. 468-480 ◽  
Author(s):  
David C. Metz ◽  
Joseph R. Pisegna ◽  
Vitaly A. Fishbeyn ◽  
Richard V. Benya ◽  
Robert T. Jensen

2004 ◽  
Vol 94 (5) ◽  
pp. 201-201
Author(s):  
Kenneth E. L. McColl
Keyword(s):  

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