Rapid Regression of Multiple Gastric Carcinoid Tumors with Hypergastrinemia and Atrophic Gastritis after Renal Transplantation
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To the Editor
Gastric carcinoid tumors are rare. Nevertheless, when they occur, they are often found in patients diagnosed as having type A gastritis . In patients with type A gastritis, the development of carcinoids and the widespread hyperplasia of enterochromaffin-like cells are related to atrophic changes of fundic mucosa and the trophic action of subsequently raised serum gastrin levels. In the past gastrectomy was the treatment of choice for carcinoid tumors; however, recent reports have shown that multiple gastric carcinoid tumors associated with type A gastritis are indolent and recommend that patients should receive more conservative treatment [1, 2]. We herein present one case where multiple gastric carcinoid tumors with hypergastrinemia and type A gastritis regressed after renal transplantation.
In November 2000, a 51-year-old woman presented with epigastric pain and she received upper gastrointestinal endoscopy in our hospital. Endoscopic examination revealed multiple...
KeywordsRenal Transplantation Gastritis Carcinoid Tumor Endoscopic Examination Atrophic Gastritis