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Diagnosis of the Zollinger–Ellison Syndrome

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Presentation on theme: "Diagnosis of the Zollinger–Ellison Syndrome"— Presentation transcript:

1 Diagnosis of the Zollinger–Ellison Syndrome
David C. Metz  Clinical Gastroenterology and Hepatology  Volume 10, Issue 2, Pages (February 2012) DOI: /j.cgh Copyright © 2012 AGA Institute Terms and Conditions

2 Figure 1 The Gastrinoma Triangle (of Stabile) is bound by the junction of 1) the common and cystic ducts (superiorly), 2) the second and third portions of the duodenum (inferiorly), and 3) the head and neck of the pancreas (medially). Most primary (sporadic) gastrinomas are single and arise in the duodenal wall as depicted. In MEN-1 syndrome, duodenal primaries are commonly multiple. Occasionally, solitary sporadic primary lesions develop in the pancreas (within the triangle defined above). Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2012 AGA Institute Terms and Conditions


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