Monday, July 14, 2014

Zollinger-Ellison syndrome (ZES)

Inheritance : Sporadic or Autosomal dominant associated with multiple endocrine neoplasia type 1 (MEN 1)
  • Multiple atypical often recurrent peptic ulcer 
  • Non–beta islet cell, gastrin-secreting tumor of the pancreas : Hypergastrinemia 
  • Increased gastric levels, positive secretin stimulation and calcium infusion test, abdominal CT can detect this syndrome 

Treatment 
  • Proton pump inhibitors : mainstay 
  • Surgery : severe cases

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