Tailor treatment to the patient in thyrotoxicosis.

All the management options for thyrotoxicosis have advantages and disadvantages. It is important to have a full discussion with the patient to ensure that a treatment option is selected that is tailored to the individual.

Localization of gastrinomas by selective intra-arterial calcium injection in patients on proton pump inhibitor or H2 receptor antagonist therapy.

Preoperative localization is important for the successful treatment of gastrinomas. The aim of this study was to investigate whether selective intra-arterial calcium injection and hepatic venous sampling was able to localize gastrinomas in four patients who remained on proton pump inhibitor or H2 antagonist therapy. Calcium gluconate was injected directly into the arteries supplying the pancreas and liver after standard selective angiography.