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 ......

Total Gastrectomy May Be a Life Saver For Patient with Ulcerogenic Tumor of Pancreas

JAMA. 1964;189(1):A32-A33. doi:10.1001/jama.1964.03070010092047.
Text Size: A A A
Published online


Total gastrectomy is the most effective treatment for patients suffering from ulcer associated with non-beta islet cell tumors of the pancreas, (Zollinger-Ellison syndrome), according to Robert M. Zollinger, MD, of the department of surgery, Ohio State University Hospitals.

Zollinger, in presenting a review of data obtained from studies of more than 250 patients, said that ulcerogenic tumors of the pancreas are relatively uncommon, but may be implicated in about 10% of problem ulcers.

In diagnosing the problem, he said, enteritis plays a major role in the clinical syndrome. "While 90% of the patients tend to develop signs and symptoms of a severe ulcer diathesis, enteritis may be the only complaint in 10%."

He said studies have shown that enteritis is the initial complaint in about one of every five cases involving the Zollinger-Ellison syndrome, and that "enteritis of varying severity occurs in 40% of all patients having an ulcerogenic tumor


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.