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Also known as: '''''Zollinger-Ellison Syndrome

Also known as: '''''Zollinger-Ellison Syndrome

==Description==

==Introduction==

A gastrinoma is a neoplasm of pancreatic islet cells that secretes the hormone gastrin, an example of an ectopic paraneoplastic disease. The disease was first described by Zollinger and Ellison in humans in 1955 and it has since been recognised occasionally in dogs and cats. Gastrinomas are the least common of the islet cell neoplasia, the other types being [[Glucagonoma|glucagonomas]] and [[Insulinoma|insulinomas]].  

A gastrinoma is a neoplasm of pancreatic islet cells that secretes the hormone gastrin, an example of an ectopic paraneoplastic disease. The disease was first described by Zollinger and Ellison in humans in 1955 and it has since been recognised occasionally in dogs and cats. Gastrinomas are the least common of the islet cell neoplasia, the other types being [[Glucagonoma|glucagonomas]] and [[Insulinoma|insulinomas]].  

The excessive secretion of gastrin leads to hyperplasia of the crypt cells of the antral gastric mucosa and hyperstimulation of gastric acid production from the [[Stomach - Histology|parietal cells of the stomach]]. Antral hyperplasia may result in '''gastric outflow obstruction'''.  The excessive secretion of gastric acid leads to [[Gastric Ulceration - Dog|'''gastro-duodenal ulceration''']] and [[Oesophagitis|'''oesophagitis''']] due to gastro-oesophageal reflux. In severe cases of the disease, deep gastric ulcers may erode blood vessels causing '''haemorrhage''' or perforate, causing septic [[Peritonitis - Cats and Dogs|'''peritonitis''']].  Gastrinomas have often metastasised to local lymph nodes or to the liver at the time of diagnosis.   

The excessive secretion of gastrin leads to hyperplasia of the crypt cells of the antral gastric mucosa and hyperstimulation of gastric acid production from the [[Monogastric Stomach - Anatomy & Physiology#Histology|parietal cells of the stomach]]. Antral hyperplasia may result in '''gastric outflow obstruction'''.  The excessive secretion of gastric acid leads to [[Gastric Ulceration - Dog|'''gastro-duodenal ulceration''']] and [[Oesophagitis|'''oesophagitis''']] due to gastro-oesophageal reflux. In severe cases of the disease, deep gastric ulcers may erode blood vessels causing '''haemorrhage''' or perforate, causing septic [[Peritonitis - Cats and Dogs|'''peritonitis''']].  Gastrinomas have often metastasised to local lymph nodes or to the liver at the time of diagnosis.   

==Signalment==

==Signalment==

In approximately 85% of cases, gastrinomas have metastasised at the time of diagnosis and the tumour is likely to recur after surgical resection.

In approximately 85% of cases, gastrinomas have metastasised at the time of diagnosis and the tumour is likely to recur after surgical resection.

==Literature Search==

[[File:CABI logo.jpg|left|90px]]

|literature search = [http://www.cabdirect.org/search.html?start=10&q=%28%28title%3A%28%22Zollinger+Ellison%22%29%29%29+OR+%28%28title%3A%28gastrinoma%29%29%29&fq=sc%3A%22ve%22 Gastrinoma publications]

|Vetstream = [https://www.vetstream.com/felis/Content/Disease/dis60205 Gastric neoplasia]

 

[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=7762 Image of pancreatic gastrinoma in a dog from Cornell Veterinary Medicine]

[[Category:Pancreas_-_Hyperplastic_and_Neoplastic_Pathology]][[Category:Endocrine_System_-_Pathology]][[Category:Dog]][[Category:Cat]]

[[Category:Pancreas_-_Hyperplastic_and_Neoplastic_Pathology]][[Category:Endocrine_System_-_Pathology]][[Category:Gastric Diseases - Dog]][[Category:Endocrine Diseases - Dog]][[Category:Gastric Diseases - Cat]]

[[Category:Neoplasia]]

[[Category:Neoplasia]]

[[Category:Expert Review]]

[[Category:Expert Review - Small Animal]]