Gastrinoma & Zollinger-Ellison Syndrome
Zollinger-Ellison Syndrome is caused by gastrinomas, which are the most common pancreatic and duodenal tumors in
GASTRINOMA
Neuroendocrine tumor in the pancreas and">MEN 1 that are recurring and/or resistant to traditional ulcer treatment.
Gastrinomas can be benign or malignant; metastasis to the bones, liver, and lungs via lymph.
SIGNS & SYMPTOMS
Mucosal lesions cause abdominal pain and bleeding, diarrhea, heartburn, and potentially GI tract rupture.
DIAGNOSIS
Symptoms, gastrin levels, and imaging to locate the tumors are used in diagnosis.
See imaging of Gastrinoma on Pancreas:
Gastrinoma 1
Gastrinoma 2
TREATMENT
Proton-pump inhibitors or octreotide can be used to limit gastric acid secretion and alleviate symptoms.
Tumor removal is ideal, if possible. Stomach removal may be necessary.