Zollinger- Ellison Syndrome - Gastric Ulcer with Gastrocolic Fistula (9 of 21)

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added:
13 years ago
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specialty:
Gastroenterology

Case description

Zollinger-Ellison Syndrome. Gastroesophageal Reflux Disease with the Zollinger-Ellison Syndrome. Peptic stenosis of the cardias in a patient that underwent a subtotal gastrectomy due to gastrocolic fistula and Zollinger-Ellison syndrome with gastric outlet obstruction. The endoscopic image of the endoscopy that we performed was of a gastric carcinoma but no malignancy was found with the pathologist. Approximately one month after the surgery, the patient started to develop a dysphagia to solids and liquids. and subsequently developed esophageal stricture We suspected the Zollinger Ellizon syndrome due to the aberrant clinical course. Multiple repeat esophageal dilation were performed but the stenosis was refractory in spite of to have used proton pump inhibitors in high doses.

tags: stomach ulcer Zollinger-Ellison syndrome fistula Billroth II

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