Table 2.
Operative procedures and outcome in 11 patients with a gastrinoma
| Patient | Type of surgery | Localization of a gastrinoma | Lymph node metastases | Follow-up (years) | Outcome |
|---|---|---|---|---|---|
| 1 | Enucleation | Pancreas | - | 15 | Disease free |
| 2 | Enucleation | Duodenum | - | 13 | Disease free |
| 3 | Enucleation | Failed to localize primary | + | 5 | Metastatic disease Symptomatic treatment of ZES |
| 4 | Enucleation | Pancreas | - | 1 | Disease free |
| 5 | Enucleation | Lymph node primary | - | 1 | Disease free |
| 6 | Duodenectomy | Failed to localize | - | 2 | Symptomatic treatment of ZES |
| 7 | Duodenectomy | Duodenum | - | 1 | Disease free |
| 8 | Central pancreatectomy | Pancreas | - | 13 | Died of metastatic disease |
| 9a | PPPD | Pancreas | + | 3 | Suspected recurrence |
| 10 | PPPDb | Pancreas | + | 7 | Disease free |
| 11 | PPPD | Duodenum | + | 1 | Disease free |
a
MEN 1 patient.
b
Enucleation performed before PPPD.
PPPD, pylorus-preserving pancreaticoduodenectomy; ZES, Zollinger–Ellison syndrome.