Two Cases of Gastric Carcinoid Tumor Associated with Type A Gastritis Treated by Distal Gastrectomy

Shinsuke Satake, Youtai Ishado, Reiko Nakai, Yasuomi Mukaeyama and Sakan Maeda^*

Departments of Surgery, National Hyogo Chuo Hospital
Division of Molecular Pathology, Department of Bioinformatics, Kobe University Graduate School of Medicine^*

Two cases of gastric carcinoid tumor associated with type A gastritis were treated by distal gastrectomy. Endoscopic examinations showed multiple small polypoid lesions in the body and fundus of the stomach, which arose against a background of body-fundus atrophic gastritis. All were diagnosed as carcinoid tumor based on the histology of the biopsy specimen and showed high serum gastrin concentration and positive anti-parietal cell antibody. Distal gastrectomy was done to suppress excess gastrin secretion. Serum gastrin concentration normalized immediately after surgery. Postoperative periodic gastroscopy and biopsy examination showed complete regression of the carcinoid tumor.

Key words
gastric carcinoid, type A gastritis, distal gastrectomy

Reprint requests
Shinsuke Satake Departments of Surgery, National Hyogo Chuo Hospital 1314 Ohara, Sanda City, 669-1515 JAPAN

Accepted
February 26, 2003

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