How is tx of gastrinoma?

R/O MEN-1  Serum Calcium + Tx HPT If Metastases Found intraop : Debulking tumor + Highly Selective Vagotomy Found Before surgery : Chemotherapy + life-long PPI Before surgery : PPI if Tumor …. Well capsulated , size <2cm , not attach MPD : Enucleation Well capsulated , size <2cm , at duodenal wall Full thickness resection Attach MPD / size>2cm / Deep in pancreas Resection (whipple / PPPD or Distal pancreatectomy Postop Octreotide