Metabolic remission with octreotide in patients with insulinoma.

Abstract:

OBJECTIVES:The efficacy of octreotide was studied in a group of patients with biochemical evidence of insulinoma. DESIGN:A phase-II study. SETTING:A university department of internal medicine. SUBJECTS:Seven patients with biochemical evidence of insulinoma and without metastatic lesions. INTERVENTION:Daily treatment with octreotide, a somatostatin analogue, mainly within the dosage of 100-300 micrograms day-1. The treatment was continued in patients with biochemical evidence of response or until surgery was undertaken. MAIN OUTCOME:Five patients avoided hypoglycaemic symptoms and had normalization of blood glucose values for a median of 15+ months (range 0.2-54 months). Two did not improve metabolically. The treatment was well tolerated and had no deleterious effects on blood glucose regulation. CONCLUSION:Octreotide seems to be a promising treatment for many of the patients with insulinoma who are not suitable for surgery.

journal_name

J Intern Med

authors

von Eyben FE,Grodum E,Gjessing HJ,Hagen C,Nielsen H

doi

10.1111/j.1365-2796.1994.tb01067.x

subject

Has Abstract

pub_date

1994-03-01 00:00:00

pages

245-8

issue

3

eissn

0954-6820

issn

1365-2796

journal_volume

235

pub_type

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