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- W2012753113 abstract "Case 1 A 56-year-old man had an 8-year history of heartburn and diarrhea (three to four loose bowel movements a day) and a 3-year history of epigastric pain with two episodes of melena. Upper gastrointestinal endoscopy demonstrated a duodenal ulcer; however, no Helicobacter pylon was seen on the biopsy specimen. He was treated with ranitidine. Pain recurred when ranitidine administration was stopped. Despite visits to a number of physicians, the diagnosis of Zollinger-Ellison syndrome (ZES) was not made until 1 month before he was referred to the National Institutes of Health (NIH), when he was found to have an elevated fasting gastrin level and a gastric pH less than 2.5. Fasting gastrin at the NIH was elevated at 363 ng/L (normal," @default.
- W2012753113 created "2016-06-24" @default.
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- W2012753113 date "1994-05-11" @default.
- W2012753113 modified "2023-09-23" @default.
- W2012753113 title "Zollinger-Ellison syndrome. Advances in treatment of gastric hypersecretion and the gastrinoma" @default.
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- W2012753113 doi "https://doi.org/10.1001/jama.271.18.1429" @default.
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