The Zollinger-Ellison syndrome : a case report

dc.contributor.authorDu Toit, D. F.en_ZA
dc.contributor.authorLouwrens, H.en_ZA
dc.contributor.authorEsterhuizen, N.en_ZA
dc.contributor.authorFalck, V. C.en_ZA
dc.contributor.authorDu Toit, L. B.en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.descriptionCITATION: Du Toit, D. F. et al. 1985. The Zollinger-Ellison syndrome : a case report. South African Medical Journal, 68:607-608.
dc.descriptionThe original publication is available at
dc.description.abstractA vagotomy and antrectomy was performed on a 15-year-old boy with malignant gastrinoma for emergency control of massive upper gastro-intestinal haemorrhage from a large posterior penetrating duodenal ulcer in the presence of jejunal ulceration and liver metastases. Hypergastrinaemia was confirmed by elevated serum gastrin levels. In the short term postoperatively the patient's disease has been controlled with oral cimetidine. Although controversy continues over the efficacy of cimetidine in the management of gastrinomas, medical treatment should be considered as an alternative to total gastrectomy in children with malignant gastrinomas because they are often slow-growing, indolent and compatible with long survival.
dc.publisherHealth & Medical Publishing Group
dc.subjectStomach -- Diseasesen_ZA
dc.titleThe Zollinger-Ellison syndrome : a case reporten_ZA
dc.description.versionPublisher’s version
dc.rights.holderSouth African Medical Journal

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