Long-term survival in a patient with carcinoid syndrome receiving treatment for Zollinger-Ellison syndrome.

A case of carcinoid syndrome in a patient receiving treatment for a malignant non-B-cell tumor of the pancreas is presented, and a survival of >14 years is noted. The probable cause is discussed. The literature is reviewed.

Can recurrent reflux disease after fundoplication be circumvented by adding a vagotomy?

Gastro-esophageal reflux disease (GORD) is caused by a weak lower esophageal sphincter. Open Nissen fundoplication has been the most common surgical treatment of GORD and hiatus hernia. This paper describes the symptomatic result and quantifies the endoscopic improvement achieved by open Nissen fundoplication alone and when combined with truncal vagotomy in a series of 21 cases and studies whether the added vagotomy confers any additional benefits.