Il'ichev V A, Gorchakov V K, Popov E A, Romanenko A M
Khirurgiia (Mosk). 1992 Sep-Oct(9-10):20-3.
Duodenal carcinoma is a rare disease and is encountered in no more than 10% of cases of the Zollinger-Ellison syndrome. The article discusses a rare case in which an isolated duodenal gastrinoma was removed endoscopically with subsequent recovery from the Zollinger-Ellison syndrome. Study of the serum gastrin concentration with provocative tests allowed the Zollinger-Ellison syndrome to be diagnosed and the radicality of duodenal gastrinoma removal to be controlled. Retrograde duodenoscopy conducted after resection of the gastric stump by the Billroth II method localized the source of hypergastrinemia and made possible radical removal of the duodenal gastrinoma, which was confirmed by normalization of the blood serum gastrin concentration. The work includes a brief literature reference on the subject.
十二指肠癌是一种罕见疾病，在卓-艾综合征病例中所占比例不超过10%。本文讨论了一例罕见病例，通过内镜切除孤立性十二指肠胃泌素瘤，随后卓-艾综合征得以康复。通过激发试验研究血清胃泌素浓度，得以诊断卓-艾综合征并控制十二指肠胃泌素瘤切除的彻底性。采用毕罗Ⅱ式法切除胃残端后进行逆行十二指肠镜检查，定位了高胃泌素血症的来源，并使十二指肠胃泌素瘤得以彻底切除，血清胃泌素浓度恢复正常证实了这一点。本文还包括了关于该主题的简要文献参考。
