NDLI: ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Pre- and Perioperative Therapy in Patients with Neuroendocrine Tumors

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ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Pre- and Perioperative Therapy in Patients with Neuroendocrine Tumors

Content Provider	Semantic Scholar
Author	Kaltsas, Gregory A. Caplin, Martyn Davies, Philippa Ferone, Diego Garcia-Carbonero, Rocio Grozinsky-Glasberg, Simona Hörsch, Dieter Janson, Eva Tiensuu Kianmanesh, Reza Kos-Kudła, B. Pavel, Marianne E. Rinke, Anja Falconi, Massimo Herder, Wouter W. De
Copyright Year	2017
Abstract	Neuroendocrine tumors of the small intestine are the most common causes of the carcinoid syndrome. Carcinoid heart disease occurs in more than half of the patients with the carcinoid syndrome. Patients with carcinoid heart disease who need to undergo surgery should also undergo preoperative evaluation by an expert cardiologist. Treatment with long-acting somatostatin analogs aims at controlling the excessive hormonal output and symptoms related to the carcinoid syndrome and at preventing a carcinoid crisis during interventions. Patients with a gastrinoma require pre- and postoperative treatment with high doses of proton pump inhibitors. Patients with a glucagonoma require somatostatin analog treatment and nutritional supplementation. Patients with a VIPoma also require somatostatin analog treatment and intravenous fluid and electrolyte therapy. Insulinoma patients generally require intravenous glucose infusion prior to operation. In patients with localized operable insulinoma, somatostatin analog infusion should only be considered after the effect of this therapy has been electively studied.
Starting Page	245
Ending Page	254
Page Count	10
File Format	PDF HTM / HTML
DOI	10.1159/000461583
PubMed reference number	28253514
Journal	Medline
Volume Number	105
Alternate Webpage(s)	http://www.diva-portal.org/smash/get/diva2:1170792/FULLTEXT01.pdf
Alternate Webpage(s)	https://doi.org/10.1159/000461583
Journal	Neuroendocrinology
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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