Gastrinoma

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Gastrinoma
Classification and external resources
Gastric neuroendocrine tumour - intermed mag.jpg
ICD-O: M8153/1
DiseasesDB 14279
eMedicine med/2678
MeSH D015408

A gastrinoma is a tumor in the pancreas or duodenum that secretes excess of gastrin leading to ulceration in the duodenum, stomach and the small intestine. There is hypersecretion of the HCl acid into the duodenum, which causes the ulcers. Excessive HCl acid production also causes hyperperistalsis, and inhibits the activity of lipase, causing severe diarrhea.

It is frequently the source of the gastrin in Zollinger-Ellison syndrome.[1]

It is most commonly found in the duodenum (50-70%) and less commonly in the pancreas (20-40%).[2] Those occurring in the pancreas have a greater potential for malignancy. Most gastrinomas are found in the gastrinoma triangle; this is bound by the junction of cystic and common bile ducts, junction of the second and third parts of the duodenum, and the junction of the neck and body of the pancreas.

Clinical Picture[edit]

Gastrinoma causes the following symptoms:

  • Hypergastrinemia
  • Ulcers of the duodenum, stomach, and small intestine.
  • Severe diarrhea.
  • Generalised cancer symptoms.

Diagnostics[edit]

1 Fasting Serum Gastrin. 2 In case of moderate hypergastrinemia, a secretin stimulation test can help in the diagnosis. 3 localization by somatostatin scintigraphy

Treatment[edit]

Treatment can involve surgery or proton pump inhibitors.

See also[edit]

References[edit]

External links[edit]