Zollinger Ellison Syndrome

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  • can be part of MEN I
  • produced by gastrinoma
    • arises from G cell of pancreas
    • secretes large amounts of gastrin
  • maximal gastric acid secretion produced
  • produces Peptic Ulcer Disease in
    • stomach
    • duodenum
    • jejunum
  • large deep ulcers, sometime multiple
  • diarrhoea results from low pH of gut contents
  • jejunal mucosal abnormalities seen
  • diagnosis confirmed by high serum gastrin

Treatment

Prognosis

  • death due to malignancy of tumour
 

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