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Long-Term Results

Harry A. Oberhelman, Jr., MD

AMA Arch Surg. 1972;104(4):447-453.

Abstract
In 11 patients with duodenal tumors and gastric hypersecretion, excision of the tumor controlled the ulcerogenic syndrome in seven of eight patients and intractable diarrhea in two of three. Total gastrectomy was required to control gastric hypersecretion in one patient with diarrhea. There was one postoperative death. Only one patient was found to have associated dysfunction in another endocrine system and that was limited to the parathyroid glands. Five of 11 tumors were malignant, as evidenced by involvement of regional lymph nodes. Follow-up reveals that the excellent initial results have been sustained from 2 to 11 years.

Author Affiliations
Stanford, Calif

From the Department of Surgery, Stanford University School of Medicine.

Footnotes
Accepted for publication Dec 7, 1971.

Read before the 79th annual meeting of the Western Surgical Association, Portland, Ore, Nov 19, 1971.

Reprint requests to 300 Pasteur Dr, Stanford, Calif 94305 (Dr. Oberhelman).

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