Highlights & Basics
- Zollinger-Ellison syndrome (ZES) is a condition caused by gastrin-producing neuroendocrine tumor that causes gastric acid hypersecretion and peptic ulcer disease.
- Can be sporadic or associated with multiple endocrine neoplasia syndrome type 1.
- Common presentation includes refractory peptic ulcer disease, abdominal pain, diarrhea, and gastroesophageal disease.
- The main goal of treatment is control of gastric hypersecretion with proton-pump inhibitors.
- The most common cause of morbidity and mortality is metastatic gastrinoma.
Quick Reference
History & Exam
Key Factors
Other Factors
Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Citations
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National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: neuroendocrine and adrenal tumors [internet publication].[Full Text]
Kunz PL, Reidy-Lagunes D, Anthony LB, et al. Consensus guidelines for the management and treatment of neuroendocrine tumors. Pancreas. 2013 May;42(4):557-77.[Abstract][Full Text]
Pavel M, Öberg K, Falconi M, et al. Gastroenteropancreatic neuroendocrine neoplasms: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2020 Jul;31(7):844-60.[Abstract][Full Text]
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