
Zollinger-Ellison Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)
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>100 pg/ml and is seen often in medical disorders other than ZES such as: 1. Proton pump inhibitor (PPI) or H2-receptor antagonist therapy, 2. Post-vagotomy, 3. Renal failure and 4. Chronic atrophic gastritis. If ZES is confirmed, it is important to determine MEN1, and calcium, parathyroid hormone and prolactin levels should be evaluated. If the diagnosis is indicated, then more specific tests are needed - there is one algorithm from Liverpool: Assessment of fasting gastrin level - levels >1000 pg/ml with acidic gastric juice (pH200 pg/ml 15 minutes after the dose is administered. Treatment Me...
>100 pg/ml and is seen often in medical disorders other than ZES such as: 1. Proton pump inhibitor (PPI) or H2-receptor antagonist therapy, 2. Post-vagotomy, 3. Renal failure and 4. Chronic atrophic gastritis. If ZES is confirmed, it is important to determine MEN1, and calcium, parathyroid hormone and prolactin levels should be evaluated. If the diagnosis is indicated, then more specific tests are needed - there is one algorithm from Liverpool: Assessment of fasting gastrin level - levels >1000 pg/ml with acidic gastric juice (pH200 pg/ml 15 minutes after the dose is administered. Treatment Medicines called proton pump inhibitors (omeprazole, lansoprazole, and others) are given to decrease acid production by the stomach. This reduction of acid helps the ulcers in the stomach and small intestine to heal. In patients with liver metastases, surgery should be done followed by chemotherapy. TABLE OF CONTENT Introduction Chapter 1 Zollinger-Ellison Syndrome Chapter 2 Causes Chapter 3 Symptoms Chapter 4 Diagnosis Chapter 5 Treatment Chapter 6 Prognosis Chapter 7 Barrett Esophagus Chapter 8 Gastro-esophageal Reflux Disease Epilogue
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