BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

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
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其他诊断因素

  • 上腹痛
  • 胃食管反流病
  • 脂肪泻
  • 上腹痛
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危险因素

  • 1 型多发性内分泌肿瘤 (MEN)
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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
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需要考虑的检查

  • 上消化道内镜检查
  • 内镜超声 (EUS)
  • 肝脏 MRI
  • 肝脏螺旋 CT
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治疗流程

急性

局部疾病：散发型

局部疾病：MEN1 综合征

转移性疾病：主要为肝脏

转移性疾病：肝外

贡献者

作者 查看所有

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

利益冲突披露
JRP is an author of a number of references cited in this monograph.

Clinical Instructor

Division of Gastroenterology and Hepatology

University of Texas Health Sciences Center

Houston

TX

利益冲突披露
DG declares that he has no competing interests.

STAR Fellow

Division of Digestive Diseases

UCLA

Los Angeles

CA

利益冲突披露
JB declares that she has no competing interests.

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

同行评议专家 查看所有

Associate Professor of Medicine Division

Gastroenterology, Hepatology and Nutrition

University of Florida

Gainesville

FL

利益冲突披露
PD declares that he has no competing interests.

Consultant Endocrinologist

Freeman Hospital

Newcastle-Upon-Tyne Hospitals Trust

UK

利益冲突披露
PP declares that he has no competing interests.

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