Zollinger-Ellison Syndrome
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Coagulation profile/screen (INR, APTT)

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May 18, 2011
Alteration in fat absorption could influence clotting factors. Liver function could be impaired by metastases. Stoelting ACED 4th ed p329
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Liver enzyme/function tests LFT (ALP, GGT, ALT, AST, Bilirubin)

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May 18, 2011
May be associated with liver metastases.
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Nasogastric tube NGT should be inserted preoperatively.

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May 18, 2011
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Consider an intravenous proton pump inhibitor infusion (ranitidine, omeprazole) to reduce gastric volumes.

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Apr 05, 2012
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Rapid sequence induction RSI.

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May 18, 2011
Large gastric volumes, at risk of aspiration
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