PMID- 17985096 OWN - NLM STAT- MEDLINE DCOM- 20080304 LR - 20220716 IS - 0043-5325 (Print) IS - 0043-5325 (Linking) VI - 119 IP - 19-20 DP - 2007 TI - Surgical aspects of gastrinoma in multiple endocrine neoplasia type 1. PG - 602-8 AB - Gastrinoma is the most frequent functional pancreaticoduodenal endocrine tumor in patients with multiple endocrine neoplasia type 1 (MEN1) and one major determinant of mortality in this syndrome. Whether routine surgical exploration should be performed in a patient with MEN1 associated Zollinger-Ellison syndrome (ZES) to possibly reduce the malignant spread and eventually increase survival still remains controversial. There is not only disagreement about the indication for surgical exploration, but also what type of procedure should be performed, since sufficient evidence-based data are not available. The article discusses the available data on treatment strategies of MEN1 associated ZES. FAU - Bartsch, Detlef K AU - Bartsch DK AD - Klinik fur Allgemein- und Viszeralchirurgie der Stadt. Kliniken Bielefeld-Mitte, Bielefeld, Germany. bartsch.detlef@sk-bielefeld.de FAU - Langer, Peter AU - Langer P FAU - Rothmund, Matthias AU - Rothmund M LA - eng PT - Journal Article PT - Review PL - Austria TA - Wien Klin Wochenschr JT - Wiener klinische Wochenschrift JID - 21620870R RN - 0 (Gastrins) SB - IM MH - Disease Progression MH - Duodenal Neoplasms/blood/mortality/*surgery MH - Gastrinoma/blood/mortality/*surgery MH - Gastrins/*blood MH - Humans MH - Laparoscopy MH - Multiple Endocrine Neoplasia Type 1/blood/mortality/*surgery MH - Pancreatectomy MH - Pancreatic Neoplasms/blood/mortality/*surgery MH - Pancreaticoduodenectomy MH - Prognosis MH - Reoperation MH - Survival Rate MH - Zollinger-Ellison Syndrome/blood/mortality/surgery RF - 65 EDAT- 2007/11/07 09:00 MHDA- 2008/03/05 09:00 CRDT- 2007/11/07 09:00 PHST- 2007/11/07 09:00 [pubmed] PHST- 2008/03/05 09:00 [medline] PHST- 2007/11/07 09:00 [entrez] AID - 10.1007/s00508-007-0883-3 [doi] PST - ppublish SO - Wien Klin Wochenschr. 2007;119(19-20):602-8. doi: 10.1007/s00508-007-0883-3.