Gastric Ulcer with Gastrocolic fistula due to a Zollinger- Ellison Syndrome (28 of 33)
Case description
Clinical Features of ZES
The mean age at presentation is 45-50 years, and men are
affected more often than women. Because of the rarity of
the disease, the average interval between onset of
symptoms and diagnosis is about 6 years. Most
gastrinomas are malignant; therefore, a high index of
suspicion remains key to proper and prompt management
of the disease. Management is aimed at cure. ZES may
present in one of several ways:
The mean age at presentation is 45-50 years, and men are
affected more often than women. Because of the rarity of
the disease, the average interval between onset of
symptoms and diagnosis is about 6 years. Most
gastrinomas are malignant; therefore, a high index of
suspicion remains key to proper and prompt management
of the disease. Management is aimed at cure. ZES may
present in one of several ways:
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