Multiple Gastric Carcinoid Tumor Associated with Type A Gastritis, Report of a Case Treated by Endoscopic Resection Takenori Shimazu 1 , Kenshi Yao 1 , Toshiyuki Matsui 1 , Tsuneyoshi Yao 1 1Depertment of Gastroenterology Fukuoka University Chikushi Hospital Keyword: 多発胃カルチノイド , EMR , 高ガストリン血症 , A型胃炎 pp.1435-1441
Published Date 2000/10/25
DOI https://doi.org/10.11477/mf.1403104901
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 A 65-year-old female was admitted for a further evaluation of multiple gastric carcinoids in the stomach while she was asymptomatic. Her serum gastrin level was remarkably high (3,400 pg/ml) and gastric parietal cell autoantibody was positive, but she was not anemic. Gastric secretion test demonstated complete achlorhydria. These findings suggested that the multiple gastric carcinoids in this patient were associated with Type A gastritis and hypergastrinemia. These small gastric tumors were excised endoscopically. The patient was followed up with endoscopy for four years and neither recurrence of tumor nor metastasis was not observed. This case was successfully treated with endoscopy and this evidence backed up the theory of minimum excision of the need for only multiple carcinoids associated with type A gastritis, which was proposed by Rindi or Gilligan in 1995.

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