a female patient of age 57yrs came iwth complaints of burning sensation after eating food ,since 1 month and associated with weight loss of about 4 kg in the past month . later patient complaints of severe loose stools of 8-10 stools .what is most common site of this condition ?: (A) head of pancreas, (B) tail of pancreas, (C) body of the pancreas, (D) between the head of pancreas and bile duct
Answer is D. most common site of gastrinoma is passaro triangle or gastrinoma triangle Zollinger-Ellison syndrome I Clinical manifestation hypergastrinaemia caused gastrynoma: gastrin-producing tumor (1 or more) of the pancreas, colon, duodenum , peripancreatic lymph nodes, G-cells of the gastric mucosa (triangle gastrin) I Spread 2.1 cases / 500 000 1 60-80% of cases - benign I 1% of gastroduodenal ulcers I Gastrin> 100ph/m1 (N), 500-1000ph/ml) ref : bailey and love 27th ed