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Medicine G.I.T 9624ee68

The investigation of choice to detect gastrinoma le<< than 5 mm size is-

A
Endoscopic ultrasound
B
Octreotide scan
C
CT scan
D
Poal venous sampling
High-Yield Explanation
Investigations Upper gastrointestinal endoscopy is the investigation of choice and should be performed promptly in any dyspeptic patient with 'alarm features' . Multiple biopsies from the edge and base of a gastric ulcer are required. Barium meal is a poor alternative, since any abnormalities must be followed by endoscopy and biopsy. Ref Davidson edition23rd pg804

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