Source:http://linkedlifedata.com/resource/pubmed/id/11059735
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2001-2-6
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pubmed:abstractText |
We describe herein the case of a 54-year-old Japanese woman in whom an inveterate peptic ulcer developed in association with pseudo-Zollinger-Ellison Syndrome (pseudo-ZES). The patient presented with weight loss and abdominal distension caused by antral and duodenal stenosis due to an inveterate peptic ulcer. Her serum gastrin level was very high; however, no evidence of a gastrinoma or carcinoid tumor was detected by preoperative examinations or surgery. A total gastrectomy and double-tract reconstruction was performed, and pathological examination revealed a gastric ulcer (UL-IV) with no histopathological evidence of a neoplasm. Immunohistochemical staining showed an obvious increase in the number of endocrine cells that were positive for chromogranin A, and marked G-cell hyperplasia was observed in the antral mucosa. Furthermore, the number of enterochromaffin-like cells was remarkably high. From the results of the immunohistochemical examination, the patient was diagnosed as having hypergastrinemia due to antral G-cell hyperplasia. Postoperatively, the patient's serum gastrin level fell rapidly to within the normal range, her nutritional status improved, and her weight increased by about 10 kg within 1 year.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0941-1291
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
923-7
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pubmed:dateRevised |
2006-8-3
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pubmed:meshHeading |
pubmed-meshheading:11059735-Diagnosis, Differential,
pubmed-meshheading:11059735-Female,
pubmed-meshheading:11059735-Gastrectomy,
pubmed-meshheading:11059735-Gastrin-Secreting Cells,
pubmed-meshheading:11059735-Gastrinoma,
pubmed-meshheading:11059735-Gastrins,
pubmed-meshheading:11059735-Humans,
pubmed-meshheading:11059735-Hyperplasia,
pubmed-meshheading:11059735-Immunohistochemistry,
pubmed-meshheading:11059735-Middle Aged,
pubmed-meshheading:11059735-Peptic Ulcer,
pubmed-meshheading:11059735-Pyloric Antrum,
pubmed-meshheading:11059735-Treatment Outcome,
pubmed-meshheading:11059735-Zollinger-Ellison Syndrome
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pubmed:year |
2000
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pubmed:articleTitle |
Development of an inveterate gastroduodenal ulcer caused by antral G-cell hyperplasia of the stomach (pseudo-Zollinger-Ellison Syndrome): report of a case.
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pubmed:affiliation |
Department of Surgery II, Oita Medical University, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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