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Related Experiment Videos

Extrapancreatic gastrinomas. Surgical experience

D R Farley1, J A van Heerden, C S Grant

  • 1Department of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, Minn.

Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1994
PubMed
Summary

Surgical excision of extrapancreatic gastrinomas offers a favorable outcome, with nearly half of patients achieving a cure. This review clarifies management for these rare tumors, showing many patients become asymptomatic post-surgery.

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Extrapancreatic gastrinomas present with diverse clinical manifestations and variable outcomes.
  • Management strategies for these tumors are often conflicting.
  • Understanding long-term results is crucial for patient care.

Purpose of the Study:

  • To clarify the management of extrapancreatic gastrinomas.
  • To review the clinical diversity and outcomes of patients with these tumors.
  • To assess the long-term follow-up results after surgical intervention.

Main Methods:

  • Retrospective analysis of 23 patients with extrapancreatic gastrinomas operated on between 1958 and 1993.
  • Long-term follow-up (mean, 8 years) was conducted.

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  • Focus on achieving eugastrinemia post-surgery.

    • Main Results:

    • Nearly half (48%) of patients became eugastrinemic and asymptomatic post-surgery.
    • 16 patients remain alive and well.
    • Mortality was primarily due to unrelated causes (atherosclerotic disease) or tumor progression.

    Conclusions:

    • Surgical excision of extrapancreatic gastrinomas leads to favorable outcomes.
    • A significant proportion of patients can be cured and remain asymptomatic.
    • This supports surgical intervention as a primary management strategy.