[The removal of gastrin secreting tissue in the treatment of Zollinger-Ellison syndrome (author's transl)]. / L'exérèse du tissue gastrino-secrétant dans le traitement du syndrome de Zollinger-Ellison.

In the light of 24 cases, routine total gastrectomy in the treatment of Zollinger-Ellison's syndrome should be abandoned in favour of the removal of gastrin-secreting tissue. This treatment which gives just as good results on the ulcer disease, also has the advantage of removal of the tumour tissue malignant in almost 2/3 of cases. Removal of the gastrin secreting tissue thus becomes the operation of choice. Total gastrectomy remains a last resort operation if it proves impossible to find or remove the gastrinoma, or, if after removal of the original tumour, there occurs a relapse of the ulcers or spread of the neoplasm.

[Endo-lumen vaterian diverticulas of the duodenum]. / Les diverticules vatériens endo-luminaux du duodénum

The authors report an unusual personal case of a diverticulum of Vater projecting into the lumen of the duodenum. The authors comment on the clinical, pathological and pathogenic findings of this embryological abnormality. Finally, they recall a few rules to avoid operative complications by a routine search for the ratios between the diverticulum of the duodenum and the papilla or the bile and pancreatic ducts.