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Ichilov Medical Center
Oncology

Treatment of Gastrinomas in Israel

Doctors in Israel have accumulated extensive experience in treating gastrinomas, both benign and malignant. The Top Ihilov clinic employs professionals who conduct accurate diagnostics and choose the optimal treatment method for Zollinger-Ellison syndrome. Gastrinoma diagnostics in Israel is performed using the latest equipment, allowing for precise localization and size determination of the tumour, its nature, and the presence of metastases. After thorough examination, leading doctors at the Top Ihilov clinic collectively decide on the most effective therapy method for each specific case.

5000
foreign patients are treated annually at the Top Ihilov clinic
100%
high-precision diagnostic program
24
hour support in Russian

Treatment methods for gastrinomas in Israel

Treatment of Zollinger-Ellison syndrome, or gastrinoma in IsraelAlthough surgery is generally indicated for this diagnosis, treatment of gastrinomas without surgery is possible in Israel; depending on the situation, the doctor chooses the most optimal treatment option. The choice of therapy method depends on the number of tumour formations, their nature, the presence or absence of metastases, sizes, and localization (in the pancreas, duodenum, walls of the gallbladder, stomach, spleen, liver). Treatment methods for gastrinomas in Israel are determined based on diagnostics; often, the doctor prescribes a combination of different therapy methods.

Conservative therapy is needed to control the level of gastric secretion. As part of conservative therapy, H2-blockers may be prescribed. A time-tested, reliable method for controlling acidity levels. They are taken orally or administered intravenously. Proton pump inhibitors. These medications belong to a modern class of drugs that reduce acidity levels and do not cause tachyphylaxis (decreased effectiveness upon repeated use), allowing for long-term use. Proton pump inhibitors suppress the enzymes that produce hydrochloric acid. They are taken orally.

Chemotherapy is prescribed in the presence of metastases and as part of combination therapy. Treatment of gastrinomas without surgery in Israel is also conducted when surgical intervention is contraindicated for the patient. Chemotherapeutic agents help reduce the tumour and lower the level of gastrin in the blood.

Embolization – a minimally invasive method for treating gastrinomas. Selective embolization is used. During the procedure, a catheter is inserted into the femoral artery, which delivers emboli to the vessel supplying blood to the tumour, blocking blood flow to the tumour, causing it to die due to lack of blood supply.

Radiofrequency ablation. The essence of the method is that affected tissues are locally heated, and the high temperature causes the destruction of the tumour. It has proven effective in treating gastrinomas without metastases. The procedure is performed percutaneously. A thin needle is inserted into the tumour area, through which high-frequency current is delivered, destroying the tumour tissues. Medical imaging systems (CT, ultrasound) are used to monitor the procedure. Israeli doctors use the latest generation equipment.

Surgery. In the case of a benign tumour, it is important to remove it as early as possible before it becomes malignant. If the tumour is malignant, surgery may be the only effective method to combat Zollinger-Ellison syndrome and metastases. In malignant gastrinomas, not only the tumours are removed but also the regional lymph nodes. If metastases are present (which most often affect the liver), surgery is performed to remove them. The type of surgical intervention depends on the size of the tumour, its location, and the number of neoplasms.

Pancreatic enucleation. This is used when the tumour is solitary, small (up to 1 cm), and located on the surface of the pancreas. During the operation, the surgeon cuts the capsule with the tumour from the pancreatic tissues, sutures the resulting defect, and places a drain. The operation is performed under endoscopic control.

Diagnostics of gastrinomas in Israel

At the Top Ihilov clinic, diagnostics are conducted by highly qualified doctors using the most modern equipment. The process is organized so that the patient undergoes all necessary examinations and receives information about the optimal treatment scheme for gastrinomas within three to four days.

Day one

The patient is met at the airport and taken to a pre-booked hotel. The clinic provides the patient with a case manager who promptly resolves all organizational issues. On the day of arrival or the next day, depending on prior arrangements, an initial consultation takes place at the clinic, where the doctor meets the patient, conducts an examination, and prescribes the necessary diagnostics.

Day two

Diagnostics of gastrinomas in Israel takes place the day after the initial consultation. Depending on the severity and nature of the disease, the patient may be prescribed the following examinations:

  • Blood test for hormones (gastrin, prolactin, parathyroid hormone), calcium level
  • Gastroscopy to determine the level of acid in the stomach
  • CT, MRI
  • Angiography
  • Endosonography.
  • Somatostatin receptor scintigraphy.

Day three

The results of the diagnostics are carefully studied, and a council is convened, which includes expert doctors in oncology, gastroenterology, and endocrinology. Together, the specialists develop a treatment plan.

Treatment of gastrinomas in Israel: cost

The Top Ihilov clinic employs top-class specialists who are on par with their colleagues in Europe and the USA. Israeli doctors have the most advanced techniques and state-of-the-art medical equipment at their disposal. However, the cost of their services is lower than in Europe. A crucial factor that leads foreign patients to choose gastrinoma treatment in Israel is the pricing. They are 30-50% lower than in European and American clinics of the same class.

Why it is worth treating gastrinoma at the Top Ihilov clinic

  • Compliance with the best global standards. Up to 40,000 people from around the world come to Israel annually for high-quality medical assistance. Modern progressive diagnostic and therapeutic technologies, advanced methods— all of this is available to patients.
  • Experience in treating oncopathologies. Treatment of oncological diseases is one of the main areas of development in Israel's medical sector, where the latest developments in cancer treatment are rapidly implemented. Patients have the opportunity to consult with leading doctors whose authority is recognized worldwide. Thousands of people have undergone gastrinoma treatment in Israel. Patient reviews about the professionalism of the doctors are overwhelmingly positive.
  • Attention and sensitivity. Patients are provided with an objective picture of their health status, forecasts are communicated, and the essence of the chosen treatment is explained. At the same time, the information is provided as accurately as possible, and the doctor encourages the patient positively, showing that the doctors are determined to fight for the patient's life and health.
  • Cost. An important factor in choosing treatment specifically in Israel. With the same high level of service as in Europe, prices in Israel are much lower.
  • Support. Each patient coming to Israel for treatment is assigned a case manager who speaks Russian.

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