Title

Endoscopic diagnosis and removal of a duodenal wall gastrinoma.

Document Type

Article

Publication Date

9-1-1984

Abstract

A 54-year-old man presented with unrelenting abdominal pain. An upper gastrointestinal x-ray showed a gastric ulcer. The duodenum showed minimal cap deformity suggestive of antecedent ulcer disease. The upper small intestine was within normal limits. Gastroduodenoscopy revealed a duodenal polyp. Biopsy of the polyp identified the presence of a gastrinoma. Serum gastrin level before endoscopic polypectomy was 489 pg/ml. Endoscopic polypectomy was performed and electron micrographs of the tissue revealed endosecretory granules of the gastrinoma. Complete removal of the gastrinoma was suggested by comparative gastric analyses, by serum gastrin levels of 93, 180, and 167 pg/ml, and by the clinical course.

Publication Title

The American journal of gastroenterology

Volume

79

Issue

9

First Page

679

Last Page

683

Comments

This article was published in the American Journal of Gastroenterology, Volume 79, Issue 9, September 1984.

The published version is not available online.

This document is currently not available here.

COinS