The Zollinger-Ellison syndrome: A collective surgical experience

D. R. Farley, J. A. Van Heerden, C. S. Grant, L. J. Miller, D. M. Ilstrup

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

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. Preoperative tumor localization was positive in 46% of 54 patients studied. Gastrinomas were identified in 66% of patients, 38% of the tumors being malignant. Postoperative eugastrinemia 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, extrapancreatic primary, and absence of tumor metastases.

Original languageEnglish (US)
Pages (from-to)561-570
Number of pages10
JournalAnnals of surgery
Volume215
Issue number6
DOIs
StatePublished - 1992

ASJC Scopus subject areas

  • Surgery

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