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Postoperative recurrent peptic ulcer: the significance of the Zollinger-Ellison syndrome.
Med J Aust. 1977 Sep 17; 2(12):389-92.MJ

Abstract

Twenty-four patients with postoperative recurrent peptic ulcer, presenting to a teaching hospital over a six-year period, are reviewed. The diagnosis was confirmed by endoscopy or surgery in all cases. Four patients (16-7%) were shown to have the Zollinger-Ellison syndrome and were treated successfully by total gastrectomy. This is a significantly higher incidence of Zollinger-Ellison syndrome than in previous reports. Six patients were treated medically, with one death. In the remainder, an inadequate initial operation was considered to be the cause of recurrence. Reoperation, usually involving complete vagotomy and antrectomy, was performed. There was no mortality in this group, and no patients have had further recurrence. The importance of serum gastrin studies in all patients with recurrent peptic ulcer is emphasized.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

927275

Citation

Lusby, R J., et al. "Postoperative Recurrent Peptic Ulcer: the Significance of the Zollinger-Ellison Syndrome." The Medical Journal of Australia, vol. 2, no. 12, 1977, pp. 389-92.
Lusby RJ, Byrnes DJ, Hugh TB. Postoperative recurrent peptic ulcer: the significance of the Zollinger-Ellison syndrome. Med J Aust. 1977;2(12):389-92.
Lusby, R. J., Byrnes, D. J., & Hugh, T. B. (1977). Postoperative recurrent peptic ulcer: the significance of the Zollinger-Ellison syndrome. The Medical Journal of Australia, 2(12), 389-92.
Lusby RJ, Byrnes DJ, Hugh TB. Postoperative Recurrent Peptic Ulcer: the Significance of the Zollinger-Ellison Syndrome. Med J Aust. 1977 Sep 17;2(12):389-92. PubMed PMID: 927275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative recurrent peptic ulcer: the significance of the Zollinger-Ellison syndrome. AU - Lusby,R J, AU - Byrnes,D J, AU - Hugh,T B, PY - 1977/9/17/pubmed PY - 1977/9/17/medline PY - 1977/9/17/entrez SP - 389 EP - 92 JF - The Medical journal of Australia JO - Med J Aust VL - 2 IS - 12 N2 - Twenty-four patients with postoperative recurrent peptic ulcer, presenting to a teaching hospital over a six-year period, are reviewed. The diagnosis was confirmed by endoscopy or surgery in all cases. Four patients (16-7%) were shown to have the Zollinger-Ellison syndrome and were treated successfully by total gastrectomy. This is a significantly higher incidence of Zollinger-Ellison syndrome than in previous reports. Six patients were treated medically, with one death. In the remainder, an inadequate initial operation was considered to be the cause of recurrence. Reoperation, usually involving complete vagotomy and antrectomy, was performed. There was no mortality in this group, and no patients have had further recurrence. The importance of serum gastrin studies in all patients with recurrent peptic ulcer is emphasized. SN - 0025-729X UR - https://www.unboundmedicine.com/medline/citation/927275/Postoperative_recurrent_peptic_ulcer:_the_significance_of_the_Zollinger_Ellison_syndrome_ L2 - https://doi.org/10.5694/j.1326-5377.1977.tb114567.x DB - PRIME DP - Unbound Medicine ER -