Gastrinoma: New medical and surgical approaches

T. J. Howard, E. Passaro

Research output: Contribution to journalArticle

6 Scopus citations


The clinical presentation of gastrinoma has changed since the original description by Zollinger and Ellison in 1955. Tumors currently found are smaller, extrapancreatic or extraintestinal in location, and frequently occult within lymph nodes. The incidence of hepatic metastases on initial presentation has decreased. In addition, the clinical course of patients with tumor in lymph nodes is benign, suggesting that more patients than were previously thought are now candidates for cure. Improved knowledge of the anatomic location of gastrinomas has enhanced our ability to find and remove them at laparotomy. As a result of these factors, more patients are being cured than ever before, and in the future, cure rate may be even higher. On the basis of these advances, the optimal treatment of gastrinoma is surgical excision for cure.

Original languageEnglish (US)
Pages (from-to)667-681
Number of pages15
JournalSurgical Clinics of North America
Issue number3
StatePublished - Jan 1 1989
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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