A case of multiple gastric carcinoids associate with type a gastritis treated with antrectomy

Tomohiro Miyachi; Takashi Tsuchiya; Hiroshi Honda; Masaya Oikawa; Tetsuya Kakita; Atsushi Oyama; Ryuichiro Sato; Takashi Yazawa; Takahiro Tsuchiya; Kikuo Miyagawa

doi:10.5833/jjgs.45.30

A case of multiple gastric carcinoids associate with type a gastritis treated with antrectomy

Tomohiro Miyachi, Takashi Tsuchiya, Hiroshi Honda, Masaya Oikawa, Tetsuya Kakita, Atsushi Oyama, Ryuichiro Sato, Takashi Yazawa, Takahiro Tsuchiya, Kikuo Miyagawa

Research output: Contribution to journal › Article › peer-review

Abstract

Type 1 gastric carcinoid is associated with Type A gastritis. A large amount of gastrin is secreted from antral G cells in response to achlorhydria in Type A gastritis. The hypergastrinemia has a trophic action on the enterochromaffin-like cells in the gastric fornix. This is a pathogenesis of Type 1 gastric carcinoid. We report a case of Type 1 gastric carcinoid treated by antrectomy. A 38-year-old man was found to have multiple polyps from the fornix to the upper gastric body with atrophic gastritis by gastroscopy. Polyp biopsy showed them to be carcinoid lesion. On laboratory examinations, hypergastrinemia and anti-parietal-cell antibodies were found. So they were diagnosed as Type 1 gastric carcinoid and anrectomy was done to suppress gastrin secretion. Postoperative serum gastrin concentration was normalized and gastric endoscopy showed complete regression of the carcinoid tumour.

Original language	English
Pages (from-to)	30-37
Number of pages	8
Journal	Japanese Journal of Gastroenterological Surgery
Volume	45
Issue number	1
DOIs	https://doi.org/10.5833/jjgs.45.30
Publication status	Published - Jan 21 2012

All Science Journal Classification (ASJC) codes

Surgery
Gastroenterology

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title = "A case of multiple gastric carcinoids associate with type a gastritis treated with antrectomy",

abstract = "Type 1 gastric carcinoid is associated with Type A gastritis. A large amount of gastrin is secreted from antral G cells in response to achlorhydria in Type A gastritis. The hypergastrinemia has a trophic action on the enterochromaffin-like cells in the gastric fornix. This is a pathogenesis of Type 1 gastric carcinoid. We report a case of Type 1 gastric carcinoid treated by antrectomy. A 38-year-old man was found to have multiple polyps from the fornix to the upper gastric body with atrophic gastritis by gastroscopy. Polyp biopsy showed them to be carcinoid lesion. On laboratory examinations, hypergastrinemia and anti-parietal-cell antibodies were found. So they were diagnosed as Type 1 gastric carcinoid and anrectomy was done to suppress gastrin secretion. Postoperative serum gastrin concentration was normalized and gastric endoscopy showed complete regression of the carcinoid tumour.",

author = "Tomohiro Miyachi and Takashi Tsuchiya and Hiroshi Honda and Masaya Oikawa and Tetsuya Kakita and Atsushi Oyama and Ryuichiro Sato and Takashi Yazawa and Takahiro Tsuchiya and Kikuo Miyagawa",

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doi = "10.5833/jjgs.45.30",

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AU - Miyachi, Tomohiro

AU - Tsuchiya, Takashi

AU - Honda, Hiroshi

AU - Oikawa, Masaya

AU - Kakita, Tetsuya

AU - Oyama, Atsushi

AU - Sato, Ryuichiro

AU - Yazawa, Takashi

AU - Tsuchiya, Takahiro

AU - Miyagawa, Kikuo

PY - 2012/1/21

Y1 - 2012/1/21

N2 - Type 1 gastric carcinoid is associated with Type A gastritis. A large amount of gastrin is secreted from antral G cells in response to achlorhydria in Type A gastritis. The hypergastrinemia has a trophic action on the enterochromaffin-like cells in the gastric fornix. This is a pathogenesis of Type 1 gastric carcinoid. We report a case of Type 1 gastric carcinoid treated by antrectomy. A 38-year-old man was found to have multiple polyps from the fornix to the upper gastric body with atrophic gastritis by gastroscopy. Polyp biopsy showed them to be carcinoid lesion. On laboratory examinations, hypergastrinemia and anti-parietal-cell antibodies were found. So they were diagnosed as Type 1 gastric carcinoid and anrectomy was done to suppress gastrin secretion. Postoperative serum gastrin concentration was normalized and gastric endoscopy showed complete regression of the carcinoid tumour.

AB - Type 1 gastric carcinoid is associated with Type A gastritis. A large amount of gastrin is secreted from antral G cells in response to achlorhydria in Type A gastritis. The hypergastrinemia has a trophic action on the enterochromaffin-like cells in the gastric fornix. This is a pathogenesis of Type 1 gastric carcinoid. We report a case of Type 1 gastric carcinoid treated by antrectomy. A 38-year-old man was found to have multiple polyps from the fornix to the upper gastric body with atrophic gastritis by gastroscopy. Polyp biopsy showed them to be carcinoid lesion. On laboratory examinations, hypergastrinemia and anti-parietal-cell antibodies were found. So they were diagnosed as Type 1 gastric carcinoid and anrectomy was done to suppress gastrin secretion. Postoperative serum gastrin concentration was normalized and gastric endoscopy showed complete regression of the carcinoid tumour.

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A case of multiple gastric carcinoids associate with type a gastritis treated with antrectomy

Abstract

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