We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Total Gastric Resection in Children With the Zollinger-Ellison Syndrome

Arch Surg. 1965;91(1):165-173. doi:10.1001/archsurg.1965.01320130167019.
Text Size: A A A
Published online


IT HAS BEEN only ten years since Zollinger and Ellison first proposed that an ulcerogenic hormone might be elaborated from non-beta, islet cell tumors of the pancreas and result in an ulcer diathesis.22 Gregory was the first to extract a "gastrin-like" substance from these tumors9 and Sircus has now demonstrated a gastric secretogogue circulating in the plasma of a patient with the Zollinger-Ellison syndrome.21 Many surgeons are still reluctant to do a total gastrectomy in such patients despite the reported influence on survival.6,12

More than 300 cases are now recorded, and of these, eight are children who have undergone gastric resection for ulcerogenic symptoms. The age of these children at the initial surgical procedure ranged from eight to fifteen years. All of the children experienced bleeding. Seven of the children had evidence of metastasis from islet cell tumors, and one child exhibited hyperplasia of the pancreatic


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.