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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Rev. Col. Bras. Cir. vol.27 no.6 Rio de Janeiro Nov./Dec. 2000

http://dx.doi.org/10.1590/S0100-69912000000600013 

RELATOS DE CASOS

 

Síndrome de Zollinger-Ellison

 

Zollinger-Ellison syndrome

 

 

Cirilo Luiz de Pardo Mêo Muraro, TCBC-SPI; Hercio Azevedo de Vasconcelos Cunha, RCBC-SPII; Carlos Eduardo de Freitas JúniorII

IProfessor Titular da Disciplina e Chefe do Serviço
IIResidente de Clínica Cirúrgica da PUC-Campinas

Endereço para correspondência

 

 


ABSTRACT

The authors report a 49 years old, female patient who have been operated on several times (antrectomy with Billroth II reconstruction, partial gastrectomy with troncular vagotomy and total gastrectomy) in the last 5 years for recurrent ulcer disease. Three months ago, an abdomen ultra sound was done showing multiples images that suggested liver metastasis, which was confirmed by CT and RM. Two months ago, one new abdomen CT specifically to pancreas was done showing an expansive process in pancreas. Serial gastrine was 1532 pg/ml at the time (reference – until 115) and among clinical history and images exams Zollinger-Ellison Syndrome was suggested, a rare disease case.

Key words: Zollinger-Ellison syndrome; Gastrinoma.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Hirschowitz BI – Zollinger-Ellison Syndrome: Pathogenesis, Diagnosis, and Management – Am J Gastroenterol, 1997; 92(3): 44-48.         [ Links ]

2. Jensen RT – Management of the Zollinger-Ellison Syndrome in patients with Multiple Endocrine Neoplasia Type 1. J Intern Med, 1998; 243(6): 477-488.         [ Links ]

3. Jorgensen NR, Rehfeld JF, Bardram L et al. – Processing-Independent Analysis in the Diagnosis of Gastrinomas – Scand J Gastroenterol, 1998; 33(4): 379-385.         [ Links ]

4. McArthur KE, Richardson CT, Barnett CC et al. – Laparotomy and Proximal Gastric Vagotomy in Zollinger-Ellison Syndrome: Results of a 16 Year Prospective Study. Am J Gastroenterol, 1996; 99: 1104-1111.         [ Links ]

5. Norton JA, Doppman JL, Jensen RT – Curative ressection in patients with Zollinger-Ellison Syndrome: Results of a 10 year Prospective Study. Am Surg, 1992; 215: 703-710.         [ Links ]

 

 

Endereço para correspondência:
Dr. Cirilo Pardo Mêo Muraro
Av. Andrade Neve, 589
13013-160 – Campinas-SP

Recebido em 15/6/1999
Aceito para publicação em 22/5/2000

 

 

Trabalho realizado na Disciplina de Moléstias do Aparelho Digestivo I (MAD I) e Serviço de Gastroenterologia Cirúrgica do HMCP da Faculdade de Ciências Médicas da Pontifícia Universidade Católica de Campinas – PUC-Campinas.

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