Role of selective arterial secretin injection test in treatment of gastrinoma

Chikashi Shibata, Yuji Funayama, Kouhei Fukushima, Ken Ichi Takahashi, Tatsuya Ueno, Munenori Nagao, Sho Haneda, Kazuhiro Watanabe, Katsuyoshi Kudoh, Atsushi Kohyama, Hiroo Naito, Iwao Sasaki

研究成果: Article査読

3 被引用数 (Scopus)

抄録

Background/Aims: To study whether use of the selective arterial secretin injection test increased the rate of tumor localization and curative resection in patients with gastrinoma. Methodology: Nine patients with gastrinoma were divided into 2 groups, before and after introduction of selective arterial secretin injection test; 4 patients before 1987 (Group 1) and 5 patients after 1988 (Group 2). Clinical results were compared retrospectively between groups. Results: Localization of primary gastrinoma was made with conventional imaging studies in 1 of the 4 patients in Group 1 and 3 of the 5 patients in Group 2. In contrast, use of the selective arterial secretin injection test was able to localize the primary tumor in 4 of the 5 patients in Group 2. Total gastrectomy was carried out in the 4 patients in Group 1, and pancreatoduodenectomy was the most frequently performed procedure (3 patients) in Group 2. Rate of curative resection was 25% and 80% in Groups 1 and 2, respectively. Conclusions: These results indicate that combining selective arterial secretin injection test with conventional imaging studies contributes to increasing rate of curative resection of gastrinoma.

本文言語English
ページ(範囲)960-963
ページ数4
ジャーナルHepato-Gastroenterology
53
72
出版ステータスPublished - 2006 11

ASJC Scopus subject areas

  • 肝臓学
  • 消化器病学

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