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Surgery General 22d453d4

Zollinger-Ellison syndrome is characterized by all of the following except -

A
Post bulbar ulcer
B
Recurrent duodenal ulcer
C
Severe diarrhea
D
Massive HCL in response to histamine injection
High-Yield Explanation
Important points that should raise the possibility of ZES in patients with duodenal ulcer. ulcers in unusual locations i.e. postbulbar ulcers recurrent or refractory ulcers ulcers with diarrhoea multiple ulcers ulcers associated with prominent gastric folds ulcers with findings s/o MEN-1 (endocrinopathy, family history of ulcer or endocrinopathy, nephrolithiasis) ulcers without H. pylori infection

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