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Isolated retained antrum

Diagnosis by gastrin challenge tests and radioscintillation scanning

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Summary

Radioscintiscanning techniques and the pattern of serum gastrin responses to secretin and calcium infusions, and to ingestion of a test meal, correctly identified the presence of an isolated retained antrum in a patient with prior gastric surgery. This well documented case report shows that such a diagnostic approach is feasible and practical.

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References

  1. van Heerden JA, Bernatz PE, Rovelstad RA: The retained gastric antrum: clinical considerations. Mayo Clin Proc 46:25–28, 1971

    Google Scholar 

  2. Scobie BA, McGill DB, Priestley JT, Rovelstad RA: Excluded gastric antrum simulating the Zollinger-Ellison syndrome. Gastroenterology 47:184–187, 1964

    Google Scholar 

  3. Korman MG, Scott DF, Hansky J, Wilson H: Hypergastrinaemia due to an excluded gastric antrum: A proposed method for differentiation from the Zollinger-Ellison syndrome. Aust NZ J Med 2:266–271, 1972

    Google Scholar 

  4. Straus E, Yalow RS: Differential diagnosis in hyperchlorhydric hypergastrinemia. Gastroenterology 66:867, 1974 (abstract)

    Google Scholar 

  5. Webster MW, Barnes EL, Stremple JF: Serum gastrin levels in the differential diagnosis of recurrent peptic ulceration due to retained gastric antrum. Am J Surg 135:248–252, 1978

    Google Scholar 

  6. Safaie-Shirazi S, Chaudhuri TK, Chaudhuri TK, Condon RE: Visualization of isolated retained antrum by using technetium-99m. Surgery 73:278–283, 1973

    Google Scholar 

  7. Sciarretta G, Malaguti P, Turba E, Fini A, Verri A, Garagnani B, Cacciari C: Retained gastric antrum syndrome diagnosed by (99mTc) pertechnetate scintiphotography in man: hormonal and radioisotopic study of two cases. J Nucl Med 19:377–380, 1978

    Google Scholar 

  8. Holtermuller KH, Malagelada J-R, McCall JT, and Go VLW: Pancreatic, gallbladder, and gastric responses to intraduodenal calcium perfusion in man. Gastroenterology 70:693–696, 1976

    Google Scholar 

  9. Isenberg JI, Walsh JH, Passaro E Jr, Moore EW, Grossman MI: Unusual effect of secretin on serum gastrin, serum calcium, and gastric acid secretion in a patient with suspected Zollinger-Ellison syndrome. Gastroenterology 62:626–631, 1972

    Google Scholar 

  10. Malagelada J-R, Holtermuller KH, Sizemore GW, Go VLW: The influence of hypercalcemia on basal and cholecystokinin-stimulated pancreatic, gallbladder, and gastric functions in man. Gastroenterology 71:405–408, 1976

    Google Scholar 

  11. Deveney CW, Deveney KS, Jaffe BM, Jones RS, Way LW: Use of calcium and secretin in the diagnosis of gastrinoma (Zollinger-Ellison syndrome). Ann Intern Med 87:680–686, 1977

    Google Scholar 

  12. Ganguli PC, Polak JM, Pearse AGE, Elder JB, Negarty M: Antral-gastrin-cell hyperplasia in peptic-ulcer disease. Lancet 1:583–586, 1974

    Google Scholar 

  13. Jewett TC Jr, Duszynski DO, Allen JE: The visualization of Meckel's diverticulum with99mTc-pertechnetate. Surgery 68:567–570, 1970

    Google Scholar 

  14. Chaudhuri TK, Chaudhuri TK, Christie JH: False positive Meckel's diverticulum scan. Surgery 71:313–314, 1972 (letter to the editor)

    Google Scholar 

  15. Wine CR, Nahrwold DL, Rose RC, Miller KL: Effect of histamine on technetium-99m excretion by gastric mucosa. Surgery 80:591–594, 1976

    Google Scholar 

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Cortot, A., Fleming, C.R., Brown, M.L. et al. Isolated retained antrum. Digest Dis Sci 26, 748–751 (1981). https://doi.org/10.1007/BF01316866

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  • DOI: https://doi.org/10.1007/BF01316866

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