最近审阅: 30 十月 2020
最近更新: 07 一月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 难治性或复发性消化性溃疡病
  • 腹泻

其他诊断因素

  • 上腹痛
  • 胃食管反流病
  • 脂肪痢
  • 消化道出血
  • 骨痛

危险因素

  • 1 型多发性内分泌肿瘤 (MEN)

诊断性检查

首要检查

  • 空腹血清胃泌素
  • 基础和最大酸排出量
  • 肠促胰液素输液试验
  • 钙输液试验
更多 首要检查

需考虑的检查

  • 上消化道内镜检查
  • 超声内镜 (EUS)
  • 肝脏 MRI
  • 肝脏螺旋 CT
  • 生长抑素受体闪烁显像 (SRS)
  • 镓 (Ga)-68 DOTATATE
  • 胰高血糖素试验
  • 血清Ghrelin
更多 需考虑的检查

治疗流程

撰稿人

Professor of Medicine

Chief

Division of Gastroenterology, Hepatology, and Parenteral Nutrition

David Geffen School of Medicine at University of California

VA Greater Los Angeles Healthcare System

Department of Veterans Affairs

Los Angeles

CA

利益声明

JRP is an author of a number of references cited in this topic.

Dr Joseph R. Pisegna would like to gratefully acknowledge Dr Deepinder Goyal, Dr Jihane Benhammou, Dr David Oh, and Dr Hank Wang, previous contributors to this topic. DG, JB, DO, and HW declare that they have no competing interests.

同行评议者展开全部内容

Associate Professor of Medicine Division

Gastroenterology, Hepatology and Nutrition

University of Florida

Gainesville

FL

利益声明

PD declares that he has no competing interests.

Consultant Endocrinologist

Freeman Hospital

Newcastle-Upon-Tyne Hospitals Trust

UK

利益声明

PP declares that he has no competing interests.

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