One algorithm for management of gastrinoma is outlined in Figure 26-1. Once the diagnosis of gastrinoma is made, therapy with PPIs is initiated to control symptoms. After this, the workup is designed to localize and stage the lesion. If the patient has unresectable disease due to extensive liver metastases, biopsy is performed to obtain a tissue diagnosis and surgery is typically not indicated. If there is no evidence of unresectable disease, abdominal exploration is performed. The results of the preoperative localization studies guide the operative exploration. However, patients

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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