[Fundic endocrine tumors and atrophic gastritis: the value of antrectomy].
We report two cases of fundic endocrine tumors associated with fundic atrophic gastritis-related hypergastrinemia and treated by antrectomy. About twenty infracentimetric tumors were observed in each patient and restrictively involved fundic mucosa. Antrectomy induced normalization of gastrinemia and the disappearance of fundic tumors, as soon as the 4(th) and 7(th) month. No recurrence was observed during the 5-year and 18-month follow-up time, respectively. We therefore consider that antrectomy may be regarded as a useful alternative treatment in the management of atrophic gastritis-related fundic endocrine tumors.
Guillem
Philippe
P
Service de Chirurgie Digestive et Générale, CHRU de Lille, France. guillem.philippe@wanadoo.fr
Vlaeminck-Guillem
Virginie
V
Leteurtre
Emmanuelle
E
Kornhauser
Richard
R
Cortot
Antoine
A
Wemeau
Jean-Louis
JL
Triboulet
Jean-Pierre
JP
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001706:Biopsy; D002276:Carcinoid Tumor / Q000145:classification / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D004415:Dyspepsia / Q000209:etiology; D019861:Enterochromaffin-like Cells; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D005748:Gastric Fundus / Q000601:surgery*; D005755:Gastrins / Q000097:blood; D005757:Gastritis, Atrophic / Q000150:complications* / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D011706:Pyloric Antrum / Q000601:surgery*; D013274:Stomach Neoplasms / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome
D005755:Gastrins