The Glucagon Provocative Test for the Diagnosis and Treatment of Zollinger–Ellison Syndrome View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-10-11

AUTHORS

Chikashi Shibata, Yuji Funayama, Kouhei Fukushima, Tatsuya Ueno, Atsushi Kohyama, Kennichi Satoh, Tooru Shimosegawa, Tetsuya Yamagiwa, Iwao Sasaki

ABSTRACT

ObjectiveOur aim was to determine whether the glucagon provocative test could be used in place of secretin test in patients with gastrinoma.MethodsThree patients with gastrinoma underwent the following examinations: (1) preoperative intravenous glucagon test to enable a definitive diagnosis, (2) intra-arterial glucagon injection test to localize the tumor, and (3) intraoperative and postoperative intravenous glucagon test to confirm the completeness of the resection.ResultsSerum gastrin levels increased in response to intravenous glucagon in all three patients preoperatively. Computed tomography scans revealed a tumor in the lesser omentum, pancreatic head, and the pancreatic uncinate in cases 1, 2, and 3, respectively. Intra-arterial glucagon test revealed that the feeding artery for the tumor was the left gastric artery in case 1 and the superior mesenteric artery in case 3. Resection of the remnant stomach with tumor, pancreaticoduodenectomy with portal vein resection, and enucleation of the tumor were performed in cases 1, 2, and 3, respectively. Serum gastrin levels did not increase in response to intravenous glucagon intraoperatively and postoperatively in cases 1 and 3. Although intravenous glucagon caused a slight increase in serum gastrin in case 2, no recurrent tumors were evident.ConclusionThese results indicate that the glucagon provocative test is a suitable alternative to testing with secretin, which is not commercially available in Japan. More... »

PAGES

344-349

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-007-0372-z

DOI

http://dx.doi.org/10.1007/s11605-007-0372-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046591564

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17929104


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