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Barrett Esophagus-II: Clinical Manifestations and Management

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.

Peptic Ulcer Disease IV: Management

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
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Cholecystitis

Cholecystitis

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Updated: Jun 13, 2026

Surgical Treatment of an Endolymphatic Sac Tumor

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

[Zollinger-Ellison syndrome: a case report.].

R Torres-Mansur¹, M A Miranda-de León, H Zamudio-Tiburcio

¹Cirujano general adscrito. Servicio de Cirugía General, Hospital General Dr. Norberto Treviño Zapata. Ciudad Victoria, Tamaulipas, México. rafamansur@hotmail.com

Revista De Gastroenterologia De Mexico

|April 29, 2010

Summary

A woman with persistent epigastric pain was diagnosed with a gastrinoma, a rare tumor causing excess gastrin. Surgical resection led to a full recovery, resolving her gastrointestinal symptoms.

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Last Updated: Jun 13, 2026

Surgical Treatment of an Endolymphatic Sac Tumor

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

Area of Science:

Gastroenterology
Endocrinology
Surgical Oncology

Background:

A 42-year-old woman presented with a 3-year history of burning epigastric pain, nausea, vomiting, food intolerance, and steatorrhea.
Initial treatments included H2 blockers and laparoscopic cholecystectomy for cholelithiasis, which did not resolve her symptoms.

Observation:

The patient developed upper gastrointestinal bleeding due to severe esophagitis and gastritis, with only partial improvement from high-dose proton pump inhibitors.
Abdominal ultrasound revealed a pancreatic head tumor, and significantly elevated serum gastrin levels (17,251 μg/L) were detected.

Findings:

Surgical exploration with intraoperative ultrasound successfully localized and resected a mass in the pancreatic head.
Pathological examination confirmed the mass as a gastrinoma.

Implications:

This case highlights the diagnostic challenge of gastrinoma, particularly in the absence of typical Zollinger-Ellison syndrome features.
Successful surgical resection of the gastrinoma resulted in complete symptom resolution and a positive long-term outcome.