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Primary intestinal lymphangiectasia in children: is octreotide an effective and safe option in the treatment?

Identifieur interne : 002A56 ( PubMed/Corpus ); précédent : 002A55; suivant : 002A57

Primary intestinal lymphangiectasia in children: is octreotide an effective and safe option in the treatment?

Auteurs : Sinan Sari ; Zeren Baris ; Buket Dalgic

Source :

RBID : pubmed:20512058

English descriptors

Abstract

Octreotide has been suggested as a medical treatment option in refractory cases of primary intestinal lymphangiectasia (IL). There are few data about the long-term effect and safety of octreotide for IL in the literature. In the present article we analyzed pediatric cases of primary IL with long-term octreotide treatment and discussed its safety profile.

DOI: 10.1097/MPG.0b013e3181d1b162
PubMed: 20512058

Links to Exploration step

pubmed:20512058

Le document en format XML

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<title xml:lang="en">Primary intestinal lymphangiectasia in children: is octreotide an effective and safe option in the treatment?</title>
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<name sortKey="Sari, Sinan" sort="Sari, Sinan" uniqKey="Sari S" first="Sinan" last="Sari">Sinan Sari</name>
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<nlm:affiliation>Department of Pediatric Gastroenterology, Faculty of Medicine, Gazi University, Ankara, Turkey. drsinansari@yahoo.com</nlm:affiliation>
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<name sortKey="Baris, Zeren" sort="Baris, Zeren" uniqKey="Baris Z" first="Zeren" last="Baris">Zeren Baris</name>
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<name sortKey="Dalgic, Buket" sort="Dalgic, Buket" uniqKey="Dalgic B" first="Buket" last="Dalgic">Buket Dalgic</name>
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<title xml:lang="en">Primary intestinal lymphangiectasia in children: is octreotide an effective and safe option in the treatment?</title>
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<term>Child, Preschool</term>
<term>Female</term>
<term>Gastrointestinal Agents (adverse effects)</term>
<term>Gastrointestinal Agents (blood)</term>
<term>Gastrointestinal Agents (therapeutic use)</term>
<term>Humans</term>
<term>Infant</term>
<term>Lymphangiectasis, Intestinal (blood)</term>
<term>Lymphangiectasis, Intestinal (drug therapy)</term>
<term>Lymphedema (blood)</term>
<term>Lymphedema (drug therapy)</term>
<term>Male</term>
<term>Octreotide (adverse effects)</term>
<term>Octreotide (blood)</term>
<term>Octreotide (therapeutic use)</term>
<term>Pancreatitis (chemically induced)</term>
<term>Serum Albumin (drug effects)</term>
<term>Treatment Outcome</term>
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<term>Gastrointestinal Agents</term>
<term>Octreotide</term>
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<term>Gastrointestinal Agents</term>
<term>Octreotide</term>
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<term>Serum Albumin</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Gastrointestinal Agents</term>
<term>Octreotide</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Pancreatitis</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Lymphangiectasis, Intestinal</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">Octreotide has been suggested as a medical treatment option in refractory cases of primary intestinal lymphangiectasia (IL). There are few data about the long-term effect and safety of octreotide for IL in the literature. In the present article we analyzed pediatric cases of primary IL with long-term octreotide treatment and discussed its safety profile.</div>
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<Day>27</Day>
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<Day>21</Day>
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<Title>Journal of pediatric gastroenterology and nutrition</Title>
<ISOAbbreviation>J. Pediatr. Gastroenterol. Nutr.</ISOAbbreviation>
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<ArticleTitle>Primary intestinal lymphangiectasia in children: is octreotide an effective and safe option in the treatment?</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Octreotide has been suggested as a medical treatment option in refractory cases of primary intestinal lymphangiectasia (IL). There are few data about the long-term effect and safety of octreotide for IL in the literature. In the present article we analyzed pediatric cases of primary IL with long-term octreotide treatment and discussed its safety profile.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Between 1999 and 2008, 13 children were diagnosed in our clinic as having IL. Six patients with primary IL were followed up, receiving octreotide therapy. The clinical data of the patients and duration of therapy, dose, and side effects of octreotide were evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Octreotide, 15 to 20 μg per body weight 2 times daily subcutaneously, was given to all of the patients. Duration of the octreotide treatment changed between 3 and 37 months. Stool frequency decreased in all of the patients after starting octreotide treatment. Serum albumin could be maintained at normal levels in 3 patients. The requirement of albumin infusions decreased in all of the patients. Acute pancreatitis was observed as a side effect of octreotide in 1 patient.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Octreotide may help to maintain serum albumin levels, improve clinical findings, and decrease the requirement of albumin infusions in refractory cases of primary IL.</AbstractText>
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