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The Zollinger-Ellison Syndrome A Collective Surgical Experience

1992; Lippincott Williams & Wilkins; Volume: 215; Issue: 6 Linguagem: Inglês

10.1097/00000658-199206000-00002

1528-1140

David R. Farley, Jon A. van Heerden, Clive S. Grant, Laurence J. Miller, Duane M. Ilstrup,

Neuroblastoma Research and Treatments

A retrospective study of 90 surgically treated patients with the Zollinger-Ellison syndrome seen from 1958 through 1990 was performed. Fifteen patients had Zollinger-Ellison syndrome as a manifestation of multiple endocrine neoplasia type I. Preop-erative tumor localization was positive in 46% of 54 patients studied. Gastrinomas were identified in 66% of patients, 38% of the tumors being malignant. Postoperative cugastrinemia was achieved in 11% of patients after a variety of surgical procedures. Exploratory laparotomy provides the only chance for cure and identifies the significant prognostic factors associated with long-term patient survival: small tumor size, extrapancrcatic primary, and absence of tumor metastases.