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2002
DOI: 10.1007/s005350200120
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Extensive hemorrhagic erosive gastritis associated with acute pancreatitis successfully treated with a somatostatin analog

Abstract: In massive hemorrhage from acute gastric mucosal lesions, it is occasionally difficult to control the bleeding with nonsurgical therapy. We used the somatostatin analog, octreotide, which suppresses gastric and pancreatic function, to treat severe hemorrhagic erosive gastritis in a patient with acute pancreatitis. A 22-year-old man presented with epigastralgia and melena. Blood levels of pancreatitis markers were elevated. Computed tomography revealed diffuse enlargement of the pancreas, without fluid collecti… Show more

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Cited by 2 publications
(2 citation statements)
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References 17 publications
(18 reference statements)
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“…Results of these findings in islet cells of human pancreas were consistent with previously reported studies [8,10]. Octreotide generally delivers a good clinical outcome for patients with pancreatitis or prevents pancreatitis after intervention to pancreatic duct in those patients [41][42][43][44], but its mechanism was not well characterized. The results of our present study suspected that octreotide action through sstr4 and sstr5 may play important roles in the regulation of pancreatic juice secretion in acinar cells of pancreas.…”
Section: Discussionsupporting
confidence: 89%
“…Results of these findings in islet cells of human pancreas were consistent with previously reported studies [8,10]. Octreotide generally delivers a good clinical outcome for patients with pancreatitis or prevents pancreatitis after intervention to pancreatic duct in those patients [41][42][43][44], but its mechanism was not well characterized. The results of our present study suspected that octreotide action through sstr4 and sstr5 may play important roles in the regulation of pancreatic juice secretion in acinar cells of pancreas.…”
Section: Discussionsupporting
confidence: 89%
“…Diverticulitis may present with abdominal pain, low-grade fever, a change in bowel habits, and dysuria (Stollman & Raskin, 1999). Erosive hemorrhagic gastritis also will cause melena (Yabuki et al, 2002) and, if associated with infection and significant blood loss, may be accompanied by fever and fatigue. Erosive hemorrhagic gastritis also will cause melena (Yabuki et al, 2002) and, if associated with infection and significant blood loss, may be accompanied by fever and fatigue.…”
Section: Acute Abdominal Symptomsmentioning
confidence: 99%