Gastric Carcinoid Tumours and Pernicious Anemia: Case Report and Review of the Literature
Author(s) -
Sarah Hagarty,
I Hüttner,
Henry R. Shibata,
S S Katz
Publication year - 2000
Publication title -
canadian journal of gastroenterology
Language(s) - English
Resource type - Journals
eISSN - 1916-7237
pISSN - 0835-7900
DOI - 10.1155/2000/645639
Subject(s) - pernicious anemia , carcinoid tumour , medicine , gastrin , anemia , gastroenterology , fundus (uterus) , stomach , atrophic gastritis , pernicious anaemia , gastritis , surgery , secretion
Patients with pernicious anemia are at risk of developing carcinoid tumours of the stomach. A patient with pernicious anemia and multifocal carcinoid tumours of the gastric fundus that regressed after antrectomy is presented. The frequent occurrence of gastric carcinoid tumours in patients with long-standing pernicious anemia suggests that surveillance gastroscopy and biopsies of the fundus might be indicated. Compete functional antrectomy may effectively cause these tumours to regress by removing their excessive gastrin hormonal stimulation. However, incomplete antrectomy can result in persistently elevated serum gastrin and failure of total disappearance of the carcinoid tumours.
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