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Surgical treatment of sporadic gastrinoma

Die chirurgische Therapie des sporadischen Gastrinoms

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Zusammenfassung

Die aktuelle chirurgische Therapie des sporadischen Gastrinoms wird durch moderne präoperative Lokalisationsdiagnostika verbessert. Hochauflösender endsokopischer Ultraschall, szintigraphische und interventionelle radiologische Stufenkatheteruntersuchungen ermöglichen ein gezieltes chirurgisches Vorgehen. Die endoskopische Transillumination und Bestimmung des stimulierten Gastrins unterstützen die intraoperative Erfolgskontrolle.

Summary

Surgical therapy for sporadic gastrinoma profits from innovative pre- and intraoperative diagnostics. Preoperative gastrinoma localization is enhanced by sophisticated endoscopic ultrasonography, scintigraphic and arteriographic studies with hormon sampling. Thereby a concise surgical approach is guided and additional intraoperative control of success may be gained by endoscopic transillumination and measurement of stimulated gastrin levels.

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Correspondence to Kerstin Lorenz.

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Lorenz, K., Dralle, H. Surgical treatment of sporadic gastrinoma. Wien Klin Wochenschr 119, 597–601 (2007). https://doi.org/10.1007/s00508-007-0882-4

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