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KMID : 0882420070720050529
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Korean Journal of Medicine
2007 Volume.72 No. 5 p.529 ~ p.535
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A case of Zollinger-Ellison syndrome: localization of gastrinoma by selective intra-arterial calcium injection
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Song Hong-Seok
Jeong Jeong-Jo
Song Kyung-Sup
Jeon Eun-Jung
Jie Byoung-Soo
Chun Yeon-Joo
Choi Sang-Wook
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Abstract
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Zollinger-Ellison syndrome is a very rare disease that’s caused by tumor having gastrin-producing cells, and this is
accompanied by hypergastrinemia leading to gastric acid hypersecretion, peptic ulcer and their complications. A
60-year-old man presented with epigastric pain and soreness he had experienced for 7 days. The endoscopic findings
showed reflux esophagitis and multiple active ulcers at the antrum, the duodenal bulb and the 2nd and 3rd portions of
the duodenum. The fasting serum gastrin level was markedly elevated above 1,470 pg/mL and this was consistent with
the findings of gastrinoma. We confirmed the presence of gastrinoma via the abdomen CT scan and selective
intra-arterial calcium injection. This is the first Korean case report of gastrinoma that was localized by selective
intra-arterial calcium injection.(Korean J Med 72:529-535, 2007)
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KEYWORD
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Zollinger-Ellison syndrome, Gastrinoma, Selective intra-arterial calcium injection
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