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Zollinger-Ellison syndrome

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Zollinger-Ellison syndrome

 [zol´in-jer el´ĭ-sun]
a triad comprising intractable, sometimes fulminating, atypical peptic ulcers; extreme gastric hyperacidity; and non--beta-cell, gastrin-secreting islet cell tumors (gastrinomas) of the pancreas, which may be single or multiple, small or large, benign or malignant.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

Zol·lin·ger-El·li·son syn·drome (ZES),

(zŏl'inj-er el'ĭ-son), [MIM*131100]
peptic ulceration with gastric hypersecretion and gastrinoma of the pancreas or duodenum, sometimes associated with familial multiple endocrine adenomatosis type 1.

Zol·lin·ger-El·li·son syn·drome (ZES),

(zŏl'inj-er el'ĭ-son), [MIM*131100]
peptic ulceration with gastric hypersecretion and gastrinoma of the pancreas or duodenum, sometimes associated with familial multiple endocrine adenomatosis type 1.
Farlex Partner Medical Dictionary © Farlex 2012

Zollinger-Ellison syndrome

(zŏl′ĭn-jər-ĕl′ĭ-sən)
n.
A gastrointestinal disease characterized by chronic peptic ulcers, gastric hypersecretion, and pancreatic gastrinomas.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

Zollinger-Ellison syndrome

A condition characterized by multiple duodenal ulcers and gastrin-secreting tumors that cause recurrent and refractory upper GI ulceration, diarrhea, steatorrhea, hypoglycemia–due to excess 'little' gastrin, pyrosis and dysphagia due to gastroesophageal reflux and ↑ gastric acid; 25% also have MEN-I; malignant gastric carcinoid may be related to chronic gastrin hypersecretion Diagnosis CT, typical clinical findings Lab ↑ Gastrin, ↑ basal acid output–>15 mmol/hr, ↑ post-histamine stimulation acid production, ↑ ratio of basal acid output to maximum acid output–stimulation testing reveals fasting gastrin > 1000 pg/mL, ↑ Ca2+ DiffDx-hypergastrinemia Antral hyperplasia, retained antrum syndrome, chronic atrophic gastritis, pernicious anemia, short bowel syndrome, gastric outlet syndrome or obstruction, gastric CA, pheochromocytoma, renal failure Management H2 receptor antagonists; at higher doses may be coadministered with antimuscarinics to inhibit gastric secretion by H2 blockage; if unresponsive, total gastrectomy and/or vagotomy
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

Zol·lin·ger-El·li·son syn·drome

(zol'in-jĕr-el'i-sŏn sin'drōm)
Peptic ulceration with gastric hypersecretion and non-beta cell tumor of the pancreatic islets, sometimes associated with familial polyendocrine adenomatosis.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

Zollinger-Ellison syndrome

A severe form of stomach and duodenal ulceration caused by an excessive production of acid by the stomach. This is stimulated by one or more tumours of the pancreas, known as gastrinomas, that secrete a powerful hormone acting on the stomach. Gastrinomas are often malignant, although slow-growing. Complete surgical removal is not always possible and drugs in the H-2 receptor antagonist group, such as cimetidine, or the more recent proton pump blocking drugs, such as OMEPRAZOLE, are often used. Removal of the stomach (gastrectomy) may be necessary. (Robert Milton Zollinger, b. 1903, American surgeon; and Edwin Horner Ellison, 1918–70, American professor of Surgery).
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005

Zollinger-Ellison syndrome

A rare condition characterized by severe and recurrent peptic ulcers in the stomach, duodenum, and upper small intestine, caused by a tumor, or tumors, usually found in the pancreas. The tumor secretes the hormone gastrin, which stimulates the stomach and duodenum to produce large quantities of acid, leading to ulceration. Most often cancerous, the tumor must be removed surgically; otherwise total surgical removal of the stomach is necessary.
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.

Ellison,

Edwin Homer, U.S. physician, 1918-1970.
Zollinger-Ellison syndrome - see under Zollinger
Zollinger-Ellison tumor - see under Zollinger

Reichmann,

Mikola, Polish physician, 1851-1918.
Reichmann disease - Synonym(s): Zollinger-Ellison syndrome

Zollinger,

Robert M., U.S. surgeon, 1903-1992.
Zollinger leg holder
Zollinger multipurpose tissue forceps
Zollinger splint
Zollinger-Ellison syndrome - peptic ulceration with gastric hypersecretion and non--beta cell tumor of the pancreatic islets, sometimes associated with familial polyendocrine adenomatosis.Synonym(s): Reichmann disease
Zollinger-Ellison tumor - a non-beta cell tumor of pancreatic islets causing the Zollinger-Ellison syndrome.
Medical Eponyms © Farlex 2012

Zol·lin·ger-El·li·son syn·drome

(zol'in-jĕr-el'i-sŏn sin'drōm) [MIM*131100]
Peptic ulceration with gastric hypersecretion and non-beta cell tumor of the pancreatic islets, sometimes associated with familial polyendocrine adenomatosis.
Medical Dictionary for the Dental Professions © Farlex 2012
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References in periodicals archive
Norton, "Surgical management of Zollinger-Ellison syndrome; state of the art," Surgical Clinics of North America, vol.
Jensen, "Zollinger-Ellison syndrome revisited: diagnosis, biologic markers, associated inherited disorders, and acid hypersecretion," Current Gastroenterology Reports, vol.
Mazeh, "Zollinger-Ellison syndrome: classical considerations and current controversies," The Oncologist, vol.
Effects of omeprazole on acid secretion and acid-related symptoms in patients with Zollinger-Ellison syndrome. Scand J Gastroenterol Suppl 1989;166:95-100.
(32.) Murugesan SV, Varro A, Pritchard DM Strategies to determine whether hypergastrinaemia is due to Zollinger-Ellison syndrome rather than a more common benign cause.
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Taken by mouth, these have proven effective in controlling most cases of Zollinger-Ellison syndrome.
(46-48) Subsequently, a variety of peptide hormones were shown by immunohistochemistry in ampullary carcinoids, including gastrin (associated with Zollinger-Ellison syndrome or multiple endocrine neoplasia type 1 syndrome), vasoactive intestinal peptide, pancreatic polypeptide, corticotropin (associated with Cushing syndrome), insulin, cholecystokinin, and calcitonin.
Recently, however, researchers have identified very powerful blockers of stomach acid release that have proven effective in controlling most cases of Zollinger-Ellison syndrome.
With rare exception, peptic ulcers can now be classified as either Helicobacter pylori-related, induced by nonsteroidal anti-inflammatory drugs (NSAIDs), or related to Zollinger-Ellison syndrome. Helicobacter pylori-related ulcers can be treatBd by eradication of H pylori or by traditional therapies, including antisecretory drugs or sucralfate.
On the aggressive side, there is the rare gastrin-secreting tumor that produces the Zollinger-Ellison syndrome (Figure 2).
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