[Recurrent mucineous cystadenoma in an 11-year-old premenarchal girl]. / Recidiverende mucinøst cystadenom hos en 11-årig, praemenarkal pige.

A case of a recurrent ovarian mucinous cystadenoma in an 11-year-old, premenarchal girl is described. The treatment of choice was cystectomy, partly because of the patient's age and partly because malignancies are uncommon in this population. The operative approach can either be by laparotomy or laparoscopy when technically feasible. But it is important to keep in mind the possibility of recurrence even of benign cysts.

The type of anastomosis after selective gastric vagotomy and precise antrectomy is of no importance for basal and postprandial serum gastrin concentration.

Twenty-six patients were treated for duodenal or recurrent ulcer with selective gastric vagotomy plus precise antrectomy--that is, complete removal of the entire antrum. Sixteen had a gastroduodenal anastomosis and 10 a gastrojejunal anastomosis. Fasting and protein meal-stimulated serum gastrin concentration was measured in 10 patients before antrectomy and in all after the operation. Fasting serum gastrin concentration was reduced and food-stimulated gastrin response abolished irrespective of the type of the anastomosis. It is concluded that a postprandial gastrin rise means retained antral tissue in the gastric remnant and that neither protein nor mechanical stimulation of the passage of food through the duodenum stimulates the duodenal G-cells to gastrin release.