Biochemically curative surgery for gastrinoma in multiple endocrine neoplasia type 1 patients

Table 1 Results of pancreaticoduodenectomy for patients with multiple endocrine neoplasia type 1

No.	Age	Gender	ZES	Ulcerdiseases	Ulcer related operation	MEN 1 related diseases	Pre-PD IRG (pg/mL)	Localization of gastrinoma			Operation	Post-PD IRG (pg/mL)	Gastrinoma			Metastases		PancreasNET	Prognosis present status(post-op yr)	Postoperative secretin or calcium test
								SASI	GIF	CT			Location	Number	Size (mm)	N	L
1	44	M	+	DU 1984	-	Pit NET 1987	310	GDA IPDA	ND	ND	PitX 1989 Mar	26	D	1	5	1	0	5	Alive well with Pit NET, PNET(18 yr 5 mo)	Negative
											T PitX 1990 Mar
											PD 1991 Mar
2	39	F	+	GU perf 1982	GX 1982	HPT 1991 Nov	800	GDA IPDA	ND	ND	PD, PX 1991 Mar St ParX	33	D	7	1- 7	1	0	6	DOD(4 yr) no recur	Negative
				Ileus 1983	JX 1983
				JU 1990							1991 Nov
3	21	M	+	DU, GU 1997	-	Pit NET 1997	583	GDA	ND	ND	PD 1997 Aug PitX 1997 Oct	25	D	1	10	0	0	0	Alive wll (12 yr) no recur	Negative

ZES: Zollinger-Ellison syndrome; PD: Pancreaticoduodenectomy; SASI: Selective arterial secretagogue injection test; GIF: Gastrointestinal fibroscopy; CT: Computed tomography; IRG: Serum immunoreactive gastrin concentration; N: Lymph node metastasis; L: Liver metastasis; NET: Neuroendocrine tumor; postop: Postoperative; F: Female; M: Male; DU: Duodenal ulcer; GU: Gastric ulcer; JU: Jejunal ulcer; perf: Perforation; GX: Partial gastrectomy; JX: Partial jejunectomy; Pit: Pituitary; PitX: Extirpation of pituitary tumor; T PitX: Total resection of pituitary gland; HPT: Hyperparathyroidism; St ParX: Subtotal parathyroidectomy; GDA: Gastroduodenal artery; IPDA: Inferior pancreatoduodenal artery; ND: Not detected; PX: Partial resection of the pancreas; D: Duodenum; P: Pancreatic; DOD: Died of other disease; Dsmt: Duodenal submucosal tumor; diff: Diffuse; D-EUS: Duodenal endoscopic ultrasonography; no recur: No recurrence.