Gastric Ulcer with Gastrocolic fistula due to a Zollinger- Ellison Syndrome (24 of 33)

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Gastric Ulcer with Gastrocolic fistula due to a Zollinger-
 Ellison Syndrome (24 of 33)
added:
13 years ago
views:
2755
specialty:
Gastroenterology

Case description

Surgically, gastrinomas are often difficult to locate, even
with careful inspection. They may be missed in at least
10–20% of patients with ZES. Gastrinomas are sometimes
found only because they have metastasized and produced
symptoms related to the spread of malignancy. Such
metastasis may be the most reliable indication of whether
the gastrinoma is malignant or benign,

Approximately half of all gastrinomas do not show up on
imaging studies. Therefore, exploratory surgery is often
recommended to try to locate and remove the tumors.

tags: ulcer fistula to Zollinger Ellison

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