In this article, we have reviewed the main therapeutic measures for the treatment of Zollinger-Ellison syndrome (ZES). Review of the literature was based on computer searches (Pub-Med, Index Medicus) and personal experiences. We have evaluated all the measures now available for treating patients with sporadic gastrinomas or gastrinomas associated with Multiple Endocrine Neoplasia Type 1, (MEN 1) including medical therapy such as antisecretory drugs and somatostatin analogs (SST), chemotherapy and chemoembolization, and surgical procedures. In ZES patients, the best therapeutic procedure is surgery which, if radical, can be curative. Medical treatment can be the best palliative therapy and should be used, when possible, in association with surgery, in a multimodal therapeutic approach. (C) 2005 The WJG Press and Elsevier Inc. All rights reserved.
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Univ Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, IranUniv Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, Iran
Rafieian, Shahab
Vahedi, Matin
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Univ Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, IranUniv Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, Iran
Vahedi, Matin
Jahanbin, Behnaz
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Univ Tehran Med Sci, Canc Inst, Pathol Dept, Imam Khomeini Hosp Complex, Tehran, IranUniv Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, Iran
Jahanbin, Behnaz
Ghasemloee, Amir
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Univ Tehran Med Sci, Gen Surg Ward, Imam Khomeini Hosp Complex, Tehran, IranUniv Tehran Med Sci, Gen Thorac Surg Ward, Imam Khomeini Hosp Complex,Qarib St, Tehran, Iran