title: [Meaning of the "final operation" in the Zollinger-Ellison syndrome].
abstract: Under analysis there were data of 37 patients with the Zollinger-Ellison syndrome (ZES), 36 of them were operated upon. Gastrinomas were found in 21 patients, in 7 of them they were undoubtedly malignant. No tumors were found during operation in 15 patients operated upon with obvious clinical picture of ZES. Treatment of patients with ZES must be differentiated, the patients must be divided into several groups. The idea of "final operation" is substantiated. It can include enucleation of gastrinoma, resection of the pancreas, truncal vagotomy with antrumectomy and sometimes a removal of the stomach or its stump if there had been a resection of the stomach, i.e. a removal of the "target-organ". The necessary succession of medical measures and choice of the operation volume are substantiated in the two given schemes of algorithms with explanations on the basis of personal experiences with treatment of 37 patients with ZES.
authors.forename: A O
authors.initials: AO
authors.lastname: Nechaĭ
authors.forename: G N
authors.initials: GN
authors.lastname: Ovampv
authors.forename: V V
authors.initials: VV
authors.lastname: Khizha
mesh_terms: D000465:Algorithms; D006801:Humans; D013514:Surgical Procedures, Operative; D015043:Zollinger-Ellison Syndrome / Q000145:classification / Q000601:surgery*
vernacular_title: Poniatie "okonchatel'naia operatsiia" pri sindrome Zollinger-Ellisona.