Duodenal gastrinoma--clinical features and usefulness of selective arterial secretin injection test.

Abstract:

:Duodenal gastrinoma is recognized as a relatively common cause of Zollinger-Ellison syndrome, but its clinical and biological features are not well known. Here we report a case of duodenal gastrinoma with lymph node metastasis which was confirmed by pathology examinations. Hypergastrinemia and gastric acid hypersecretion were documented, but the secretin test showed negative results. An enlarged peripancreatic lymph node lying close to the pancreas head was the only positive finding on preoperative imaging studies. The results of the selective arterial secretin injection (SASI) test suggested that the primary tumor was located in the gastrinoma triangle. Finally, surgical exploration was carried out and a submucosal tumor, approximately 15 mm in size, was detected by intraoperative palpation at the posterior wall of the proximal portion of the duodenum. Intraoperative pathology examination demonstrated metastases to regional lymph nodes. The present case calls attention to the unique features of duodenal gastrinomas, which differ from those of pancreatic origin: a highly malignant potential for its small size, and submucosal location in the proximal duodenum. The SASI test is recommended for assessing the location of a primary lesion if it cannot be identified by various conventional imaging studies.

journal_name

J Gastroenterol

authors

Takasu A,Shimosegawa T,Fukudo S,Asakura T,Uchi M,Kimura K,Kashimura J,Satoh K,Koizumi M,Sasaki I,Hongo M,Suzuki T,Toyota T

doi

10.1007/s005350050163

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

728-33

issue

5

eissn

0944-1174

issn

1435-5922

journal_volume

33

pub_type

杂志文章
  • Chromosomal aneuploidies and combinational fluorescence in situ hybridization probe panels are useful for predicting prognosis for esophageal squamous cell carcinoma.

    abstract:BACKGROUND:Esophageal squamous cell carcinoma (ESCC) is a common cancer type in China. In this study, we aimed to develop aneuploidy markers for diagnosis and prognosis of ESCC. METHODS:Chromosomal aneuploidies were detected in 493 primary tumors and 61 precancerous lesions by fluorescence in situ hybridization with c...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-014-0961-z

    authors: Hao JJ,Yao HQ,Dai GY,Kang W,Jia XM,Xu X,Cai Y,Zhan QM,Wang GQ,Wang MR

    更新日期:2015-02-01 00:00:00

  • Involvement of activation-induced cytidine deaminase in the development of colitis-associated colorectal cancers.

    abstract::Chronic inflammatory bowel disease (IBD) is an important etiologic factor in the development of colorectal cancer. However, the mechanism underlying the development of colorectal cancers through chronic inflammation is not known. Activation-induced cytidine deaminase (AID) was originally identified as an inducer of so...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-010-0326-1

    authors: Endo Y,Marusawa H,Chiba T

    更新日期:2011-01-01 00:00:00

  • Circular RNA TMEM87A promotes cell proliferation and metastasis of gastric cancer by elevating ULK1 via sponging miR-142-5p.

    abstract:BACKGROUND:Circular RNAs (circRNAs) act as vital regulators of gene expression in a variety of cancers. However, the role of circRNAs in gastric cancer (GC) remains largely unexplored. Herein, we identified that circTMEM87A sponges miR-142-5p to promote GC progression through up-regulating ULK1 expression. METHODS:The...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-020-01744-1

    authors: Wang H,Sun G,Xu P,Lv J,Zhang X,Zhang L,Wang S,Cao J,Xia Y,Xuan Z,Li B,Huang X,Jiang T,Fang L,Xu Z

    更新日期:2020-11-06 00:00:00

  • C-reactive protein is an indicator of serum infliximab level in predicting loss of response in patients with Crohn's disease.

    abstract:BACKGROUND:The ability of serum infliximab level to predict clinical outcome in infliximab therapy in Crohn's disease is unclear. Here, we aimed to clarify the correlation between the timing of loss of response (LOR) to treatment and a decrease in serum infliximab level, and, in addition, to identify an indicator of in...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00535-013-0807-0

    authors: Hibi T,Sakuraba A,Watanabe M,Motoya S,Ito H,Sato N,Yoshinari T,Motegi K,Kinouchi Y,Takazoe M,Suzuki Y,Matsumoto T,Kawakami K,Matsumoto T,Hirata I,Tanaka S,Ashida T,Matsui T

    更新日期:2014-02-01 00:00:00

  • Evaluation of autonomic nervous function during upper gastrointestinal endoscopy using heart rate variability.

    abstract::To investigate autonomic nervous function during upper gastrointestinal endoscopy, we analyzed R-R interval variability from electrocardiograms obtained during endoscopy. Holter electrocardiogram recordings were made before and after premedication, and during endoscopy. Time- and frequency-domain analyses of heart rat...

    journal_title:Journal of gastroenterology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s005350070018

    authors: Hayashi T,Nomura M,Honda H,Tezuka K,Torisu R,Takeuchi Y,Nakaya Y,Ito S

    更新日期:2000-01-01 00:00:00

  • D-Penicillamine improved laparoscopic and histological findings of the liver in a patient with Wilson's disease: 3-year follow-up after diagnosis of Coombs-negative hemolytic anemia of Wilson's disease.

    abstract::We report a 13-year-old girl who presented with hepatic failure and hemolytic anemia. Laboratory findings showed a normal serum copper level (104 microg/dl), high urinary copper level (2370 microg/dl), and low serum ceruloplasmin level (14.3 microg/dl). Slit-lamp examination revealed Kayser-Fleischer rings on her corn...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-005-1600-5

    authors: Sakaida I,Kawaguchi K,Kimura T,Tamura F,Okita K

    更新日期:2005-06-01 00:00:00

  • Nationwide survey of hereditary pancreatitis in Japan.

    abstract:BACKGROUND:Hereditary pancreatitis (HP) is a rare cause of chronic pancreatitis. We here report a nationwide survey to clarify the epidemiological, genetic, and clinical features of HP in Japan. METHODS:Target subjects were patients with HP and their family members who had visited selected hospitals between 2005 and 2...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-017-1388-0

    authors: Masamune A,Kikuta K,Hamada S,Nakano E,Kume K,Inui A,Shimizu T,Takeyama Y,Nio M,Shimosegawa T

    更新日期:2018-01-01 00:00:00

  • Isolation of novel mouse genes that were differentially expressed in W/W(V) mouse fundus.

    abstract:BACKGROUND:Using cDNA microarray analysis that displays a total of 8734 mouse genes, we have identified 21 known and novel transcripts, including mouse expressed sequence tags (ESTs) that were consistently up- or downregulated in the fundus of wild-type mice and W/W(V) mice, where intramuscular interstitial cells of Ca...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-003-1283-8

    authors: Daigo Y,Takayama I,Ward SM,Sanders KM,Fujino MA

    更新日期:2004-01-01 00:00:00

  • Nutritional factors and risk of pancreatic cancer: a population-based case-control study based on direct interview in Japan.

    abstract:BACKGROUND:Few epidemiologic studies have examined the role of nutrient intake in the development of pancreatic cancer in Japan. We addressed this association in a population-based case-control study. METHODS:The cases were 109 patients who were newly diagnosed with pancreatic cancer between January 2000 and March 200...

    journal_title:Journal of gastroenterology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00535-004-1537-0

    authors: Lin Y,Tamakoshi A,Hayakawa T,Naruse S,Kitagawa M,Ohno Y

    更新日期:2005-03-01 00:00:00

  • Cytokine responses of intraepithelial lymphocytes are regulated by histamine H(2) receptor.

    abstract:BACKGROUND:Histamine participates in the immune regulation of several gastrointestinal diseases. However, the effect of histamine on intestinal intraepithelial lymphocytes (IELs), the front line of the intestinal mucosal immune system, is not well understood. We examined whether histamine has a direct effect on cytokin...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-009-0019-9

    authors: Takagaki K,Osawa S,Horio Y,Yamada T,Hamaya Y,Takayanagi Y,Furuta T,Hishida A,Ikuma M

    更新日期:2009-01-01 00:00:00

  • p53 codon 72 polymorphism in patients affected with ulcerative colitis.

    abstract:BACKGROUND:The p53 tumor suppressor protein plays a fundamental role in maintaining genomic integrity through its ability to arrest the cell cycle in G1 and induce apoptosis. The proapoptotic activity of p53 seems to be strictly related to proline-rich regions, homologous to the SH3 binding domain. In the literature, r...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-007-2026-z

    authors: Vietri MT,Riegler G,Ursillo A,Caserta L,Cioffi M,Molinari AM

    更新日期:2007-06-01 00:00:00

  • A Japanese case of eosinophilic esophagitis.

    abstract::Eosinophilic esophagitis (EE) is a rarely diagnosed condition involving eosinophilic infiltration of the esophageal mucosa. Here we present a case of EE in a 69-year-old Japanese man, who presented with abdominal pain, appetite loss, and a history of bronchial asthma. Laboratory findings included peripheral eosinophil...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-006-1827-9

    authors: Furuta K,Adachi K,Kowari K,Mishima Y,Imaoka H,Kadota C,Koshino K,Miyake T,Kadowaki Y,Furuta K,Kazumori H,Sato S,Ishihara S,Amano Y,Honda M,Kinoshita Y

    更新日期:2006-07-01 00:00:00

  • Hidradenitis suppurativa associated with Crohn's disease and spondyloarthropathy: response to anti-TNF therapy.

    abstract::An association of hidradenitis suppurativa with Crohn's disease is supported by previous repent. We here report a patient with hidradenitis suppurativa who subsequently developed peripheral arthritis, sacroiliitis, and Crohn's disease. A significant attenuation of bowel, cutaneous, and joint symptoms was achieved afte...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-003-1185-9

    authors: Roussomoustakaki M,Dimoulios P,Chatzicostas C,Kritikos HD,Romanos J,Panayiotides JG,Kouroumalis EA

    更新日期:2003-01-01 00:00:00

  • Indigo naturalis is effective even in treatment-refractory patients with ulcerative colitis: a post hoc analysis from the INDIGO study.

    abstract:BACKGROUND:We recently reported the efficacy of indigo naturalis (IN) in patients with active ulcerative colitis (UC) in a randomized controlled trial (INDIGO study). However, few studies have been conducted to investigate whether IN is effective even in treatment-refractory cases, such as in those with steroid depende...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-019-01625-2

    authors: Naganuma M,Sugimoto S,Fukuda T,Mitsuyama K,Kobayashi T,Yoshimura N,Ohi H,Tanaka S,Andoh A,Ohmiya N,Saigusa K,Yamamoto T,Morohoshi Y,Ichikawa H,Matsuoka K,Hisamatsu T,Watanabe K,Mizuno S,Abe T,Suzuki Y,Kanai T,IN

    更新日期:2020-02-01 00:00:00

  • Carcinoma of the gallbladder and anomalous arrangement of the pancreaticobiliary ductal system: cell kinetic studies of gallbladder epithelial cells.

    abstract::Anomalous arrangement of the pancreaticobiliary ductal system (AAPB), a congenital anomaly defined as a union of the pancreatic and biliary ducts located outside the duodenal wall, is a newly designated disease entity, and is frequently found in adult patients with gallbladder carcinoma (GBX). In the present study, th...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/BF02936958

    authors: Yang Y,Fujii H,Matsumoto Y,Suzuki K,Kawaoi A,Suda K

    更新日期:1997-12-01 00:00:00

  • Systemic and intestinal levels of factor XIII-A: the impact of inflammation on expression in macrophage subtypes.

    abstract:BACKGROUND:Subunit A of coagulation factor XIII (FXIII-A) is important for clot stability and acts in the subsequent wound healing process. Loss of plasma FXIII-A has been reported after surgery, sepsis, and inflammatory conditions. In the intestinal mucosa, FXIII-A is expressed by macrophages and cellular FXIII-A has ...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-015-1152-2

    authors: Soendergaard C,Kvist PH,Seidelin JB,Pelzer H,Nielsen OH

    更新日期:2016-08-01 00:00:00

  • A case of choledochal cyst associated with adenocarcinoma exhibiting sarcomatous features.

    abstract::One complication of choledochal cyst in adulthood is the development of secondary carcinoma, usually well-differentiated adenocarcinoma. We report a case of extrahepatic bile duct carcinoma associated with choledochal cyst and presenting predominantly sarcomatous features. The patient was a 52-year-old female who pres...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/BF02365455

    authors: Nonomura A,Mizukami Y,Matsubara F,Ueda H

    更新日期:1994-10-01 00:00:00

  • Computed tomography in the diagnosis of adult midgut rotational anomalies: a report of two cases.

    abstract::Adult midgut rotational anomalies are difficult to diagnose. Any symptoms present in adults may be the result of intermittent volvulus of the midgut. Successful outcome of this clinical condition depends on prompt diagnosis and timely surgical intervention. Computed tomography (CT) is useful in early identification of...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1007/s005350050052

    authors: Wang TK,Yeh CH

    更新日期:1998-02-01 00:00:00

  • Mucinous cystadenoma of the pancreas resected 11 years after cystgastrostomy.

    abstract::There have been numerous reports that mucinous cystadenoma of the pancreas can transform to mucinous cystadenocarcinoma after cystenterostomy, but few authors have reported morphological changes long after cystenterostomy for mucinous cystadenoma. A 41-year-old Japanese woman had undergone cystgastrostomy at a nearby ...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s005350200055

    authors: Masatsugu T,Yamaguchi K,Arima T,Chijiiwa K,Tanaka M

    更新日期:2002-01-01 00:00:00

  • Photodynamic therapy for human hepatoma-cell-line tumors utilizing biliary excretion properties of indocyanine green.

    abstract:BACKGROUND:Photodynamic therapy (PDT) has not been reported for human hepatoma, because cancer cells only weakly take up the photosensitizer. Indocyanine green (ICG) is a photosensitizer normally excreted into the bile, and bile excretion is impaired in human hepatomas. We examined whether human hepatoma cell lines pre...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-013-0775-4

    authors: Kaneko J,Inagaki Y,Ishizawa T,Gao J,Tang W,Aoki T,Sakamoto Y,Hasegawa K,Sugawara Y,Kokudo N

    更新日期:2014-01-01 00:00:00

  • Influence of adiponectin gene polymorphisms in Japanese patients with non-alcoholic fatty liver disease.

    abstract:PURPOSE:Single nucleotide polymorphisms (SNPs) of the adiponectin gene have been reported to be associated with insulin resistance and the prevalence of type-2 diabetes. We investigated the SNPs of adiponectin in non-alcoholic fatty liver disease (NAFLD) patients. METHODS:One hundred nineteen patients histologically d...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-009-0085-z

    authors: Tokushige K,Hashimoto E,Noto H,Yatsuji S,Taniai M,Torii N,Shiratori K

    更新日期:2009-01-01 00:00:00

  • Impairment of chemical clearance and mucosal integrity distinguishes hypersensitive esophagus from functional heartburn.

    abstract:BACKGROUND:Hypersensitive esophagus (HE) is defined by endoscopy-negative heartburn with a normal acid exposure time but positive symptom association probability (SAP) and/or symptom index (SI) on impedance-pH monitoring, and proton pump inhibitor (PPI) responsiveness. Functional heartburn (FH) is distinguished by nega...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00535-016-1226-9

    authors: Frazzoni M,de Bortoli N,Frazzoni L,Furnari M,Martinucci I,Tolone S,Farioli A,Marchi S,Fuccio L,Savarino V,Savarino E

    更新日期:2017-04-01 00:00:00

  • Nuclear cyclin D1 overexpression is a critical event associated with cell proliferation and invasive growth in gallbladder carcinogenesis.

    abstract::Cyclin D1 overexpression is remarkably frequent in several human carcinomas and is believed to be a critical event in oncogenesis. We examined cyclin D1 expression, p53 expression, and the Ki-67 labeling index by immunostaining in human gallbladder mucosa in conditions varying from normal to malignant tissue. We also ...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s005350050027

    authors: Itoi T,Shinohara Y,Takeda K,Nakamura K,Takei K,Sanada J,Horibe T,Saito T,Kasuya K,Ebihara Y

    更新日期:2000-01-01 00:00:00

  • Expression of gap junction protein connexin32 in chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma.

    abstract:BACKGROUND:The gap junction (GJ) plays important roles in the maintenance of tissue homeostasis, the control of cell growth and differentiation, and the prevention of experimental hepatocarcinogenesis. In this study, we examined the relationship between the expression of the GJ protein connexin (Cx) 32 in 24 human hepa...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-003-1386-2

    authors: Nakashima Y,Ono T,Yamanoi A,El-Assal ON,Kohno H,Nagasue N

    更新日期:2004-08-01 00:00:00

  • Effects of short-term administration of the CCK receptor antagonist, KSG-504, on regeneration of pancreatic acinar cells in acute pancreatitis in rats.

    abstract::Cholecystokinin (CCK) receptor antagonists have been reported on have an inhibitory effect on acute experimental pancreatitis, but their long-term administration is also reported to block pancreatic regeneration. We examined whether the short-term administration of KSG-504 (KSG), a synthetic CCK-A receptor antagonist,...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/BF02347566

    authors: Okumura Y,Inoue H,Fujiyama Y,Bamba T

    更新日期:1995-08-01 00:00:00

  • Oxidative stress is closely associated with tumor angiogenesis of hepatocellular carcinoma.

    abstract:BACKGROUND:Oxidative stress (OS) plays an important role in the progression of chronic liver disease and hepatocarcinogenesis. However, the role of OS in the progression of hepatocellular carcinoma (HCC) is unclear. The aim of this study was to assess whether OS promotes angiogenesis in HCC. METHODS:The expressions of...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-011-0392-z

    authors: Jo M,Nishikawa T,Nakajima T,Okada Y,Yamaguchi K,Mitsuyoshi H,Yasui K,Minami M,Iwai M,Kagawa K,Itoh Y,Yoshikawa T

    更新日期:2011-06-01 00:00:00

  • Suppressive effect of rice extract on Helicobacter pylori infection in a Mongolian gerbil model.

    abstract:BACKGROUND:Rice extract has been shown to protect gastric mucosa from stress-induced damage. In this study, the antibiotic effect and the anti-inflammatory effect of orally administered aqueous rice extract on Helicobacter pylori infection and H. pylori-induced gastritis, respectively, in Mongolian gerbils were investi...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s00535-005-1570-7

    authors: Murakami M,Ota H,Sugiyama A,Ishizone S,Maruta F,Akita N,Okimura Y,Kumagai T,Jo M,Tokuyama T

    更新日期:2005-05-01 00:00:00

  • Proliferative activity of mixed hyperplastic adenomatous polyp/serrated adenoma in the large intestine, measured by PCNA (proliferating cell nuclear antigen).

    abstract::The proliferative activity of serrated adenomas of the large intestine was determined by examining proliferating cell nuclear antigen (PCNA). The PCNA labeling index, determined by visual inspection, and the PCNA area rate, determined with the newly developed image processor for analytical pathology (IPAP), of serrate...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/BF02389519

    authors: Fujishima N

    更新日期:1996-04-01 00:00:00

  • Evolution of and obstacles in surgical treatment for hepatocellular carcinoma over the last 25 years: differences over four treatment eras.

    abstract::This study was designed to clarify what differences the last 25 years have made in surgical results for patients with hepatocellular carcinoma (HCC). We examined results for 716 hepatectomized patients in four treatment eras: first era (1973-1980; n = 58), second era (1981-1985; n = 155), third era (1986-1990; n = 243...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章

    doi:10.1007/s005350070061

    authors: Yamanaka N,Takata M,Tanaka T,Yamanaka J,Yasui C,Ando T,Kuroda N,Maeda S,Okamoto E

    更新日期:2000-01-01 00:00:00

  • A breakthrough in probiotics: Clostridium butyricum regulates gut homeostasis and anti-inflammatory response in inflammatory bowel disease.

    abstract::Intestinal immune homeostasis is regulated by gut microbiota, including beneficial and pathogenic microorganisms. Imbalance in gut bacterial constituents provokes host proinflammatory responses causing diseases such as inflammatory bowel disease (IBD). The development of next-generation sequencing technology allows th...

    journal_title:Journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.1007/s00535-015-1084-x

    authors: Kanai T,Mikami Y,Hayashi A

    更新日期:2015-09-01 00:00:00