ZES (gastrinoma) | PGI Nov 2017 Preparations MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August

True about ZES (gastrinoma) 

A. Gastrin levels > 1000 ng/l 
B. BAO (Basal acid output) > 15 meq/hr 
C. Somatostatin is inhibitor of HCL secretion 
D. Omeprazole is helpful 
E. Secretin increases gastrin secretion in Zollinger Ellison Syndrome

Ans. (A). Gastrin levels> 1000 ng/l ; (B) BAO (Basal acid output)> 15 meq/hr;
(C) Somatostatin is inhibitor of HCL secretion ; (D) Omeprazole is helpful (E) Secretin increases gastrin secretion in zollinger Ellison Syndrome 

• Most patients with Zollinger Ellison syndrome have
— Fasting hypergastrinemia (> l000ng/L)
— Increased basal gactric output (> 15 meq/hr)
—Secretin increases gastrin secretion
• Proton pump inhibitor like orneprazole is helpful.
• Somatostatin is inhibitor of HCl secretion.