A case of Zollinger-Ellison syndrome with MEN-1 / 대한내과학회지
Korean Journal of Medicine
;
: 289-294, 2010.
Artículo
en Coreano
| WPRIM
| ID: wpr-86090
ABSTRACT
Zollinger-Ellison syndrome (ZES) is a clinical syndrome caused by excessive gastric acid secretion by gastrinoma, characteristically causing peptic disease and/or gastroesophageal reflux disease. Approximately one third of patients with gastrinoma have multiple endocrine neoplasia type 1 (MEN-1). A 56-year-old man was admitted for abdominal pain and diarrhea lasting for 2 weeks. The endoscopic findings revealed severe reflux esophagitis and multiple ulcers at the bulb and second portion of the duodenum. He was diagnosed as ZES based on typical clinical features such as markedly elevated fasting gastrin level (> or =1,263 pg/mL) and findings from a CT scan and somatostatin receptor scan. Pathologic findings after the operation revealed malignant gastrinoma. He was confirmed to have parathyroid adenoma and MEN-1. Despite antisecretory therapy with proton pump inhibitors, an esophageal stricture developed, and we performed esophageal balloon dilatation and stent insertion.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neoplasias de las Paratiroides
/
Úlcera
/
Gastrinas
/
Gastrinoma
/
Esofagitis Péptica
/
Reflujo Gastroesofágico
/
Síndrome de Zollinger-Ellison
/
Dolor Abdominal
/
Stents
/
Ayuno
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Año:
2010
Tipo del documento:
Artículo
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