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Book Description: The classic step-by-step atlas of general surgery procedures – now in color and updated with the latest laparoscopic. Title, Atlas de cirugía. Author, Robert M. Zollinger. Translated by, Jorge Orizaga Samperio. Illustrated by, Marita Bitans. Edition, 8. Publisher, McGraw Hill, ZOLLINGER ATLAS DE CIRUGIA, Author:Milton, Robert, ISBN: , Theme: GASTROINTESTINAL SURGICAL TECHNIQUES.

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Se analiza una muestra de tu sangre para ver si tienes niveles elevados de gastrina. Debido a que los niveles de gastrina pueden variar, es posible que la prueba deba repetirse algunas veces.

An operation to remove the tumors that occur in Zollinger-Ellison requires a skilled surgeon because the tumors are often small and difficult to locate. If you have just one tumor, your doctor may be able to remove it surgically, but surgery may not be an option if you have multiple tumors or tumors that have spread to your liver.


On the other hand, even if you have multiple tumors, your doctor still may recommend removing a single large tumor. Excess acid production can almost always be controlled.

Medications known as proton pump inhibitors are the first line of treatment. These are effective medications for decreasing acid production in Zollinger-Ellison syndrome. Proton pump inhibitors are powerful drugs that reduce acid by blocking the action of the tiny “pumps” within acid-secreting cells.

Commonly prescribed medications include lansoprazole Prevacidomeprazole Prilosec, Zegeridcirugiia Protonixrabeprazole Aciphex and esomeprazole Nexium. Long-term use of prescription proton pump inhibitors, especially in people age 50 and older, has been associated with an increased risk of fractures of the hip, wrist and spine, according to the Food and Drug Administration.

Síndrome de Zollinger-Ellison by David Moreno on Prezi

This risk is small and should be weighed against the acid-blocking benefits of these medications. Octreotide Sandostatina medication similar to the hormone somatostatin, may counteract the effects of gastrin and be helpful for some people. Solicite una Consulta en Mayo Clinic.

  ANT 433 AN1603 PDF

Escrito por el personal de Mayo Clinic. References Greenberger NJ, et al. Cameron JL, et al, eds.


Clinical manifestations and diagnosis. Krampitz GW, et al. Current management of the Zollinger-Ellison syndrome.

Possible increased risk of fractures of the hip, wrist, and spine with the use of proton pump inhibitors. Mayo Clinic Health Letter.