Home LiteratureArticle Details
PMID: 9127169 Published · ppublish English Clinical Trial Journal Article Randomized Controlled Trial

A randomized, controlled trial of octreotide in the management of patients with acute pancreatitis.

International journal of pancreatology : official journal of the International Association of Pancreatology ·Vol. 21 ·No. 1 ·1997-02-00 ·Pages 13-9

McKay C, Baxter J, Imrie C

Abstract

In this study, octreotide was not found to be of benefit in the treatment of acute pancreatitis. Somatostatin and its long-acting analog octreotide have both been proposed for the treatment of patients with acute pancreatitis, but neither agent has been adequately assessed in patients with severe attacks. Fifty-eight patients with moderate or severe acute pancreatitis who were admitted to hospitals within the west of Scotland over an 18-mo period were randomized to receive octreotide, 40 micrograms/h, by continuous i.v. infusion for 5 d, or placebo in addition to standard supportive therapy. There was no significant difference in the incidence of complications (54% octreotide group and 40% placebo group) or mortality (octreotide group 18%; placebo group 20%).

MeSH Terms
Acute Disease Adult Aged Aged, 80 and over Female Humans Male Middle Aged Octreotide/adverse effects,therapeutic use Pancreatitis/drug therapy,mortality
Chemicals
Octreotide
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
McKay C
Department of Surgery, Glasgow Royal Infirmary, UK.
Baxter J
Imrie C
References (28)
28 references, click to expand
  1. Treatment of experimentally induced pancreatitis in ex vivo perfused canine pancreas with the somatostatin analogue octreotide.
    Curr Surg. 1990 Sep-Oct;47(5):343-5 PMID: 1701696
  2. Effect of SMS201-995 (a long-acting somatostatin analog) on bile-induced acute hemorrhagic pancreatitis in the dog.
    Am Surg. 1989 Jun;55(6):389-91 PMID: 2729778
  3. Cytoprotective properties of somatostatins.
    Klin Wochenschr. 1986;64 Suppl 7:59-63 PMID: 2882051
  4. Alpha 2 macroglobulin state in acute pancreatitis. Raised values of alpha 2 macroglobulin-protease complexes in severe and mild attacks.
    Gut. 1991 Apr;32(4):430-4 PMID: 1709131
  5. SMS 201-995: a very potent and selective octapeptide analogue of somatostatin with prolonged action.
    Life Sci. 1982 Sep 13;31(11):1133-40 PMID: 6128648
  6. Microcirculatory effects of somatostatin in acute pancreatitis.
    Eur Surg Res. 1988;20(1):82-8 PMID: 2900142
  7. Effect of somatostatin analogue (SMS 201-995, Sandostatin) on pancreatic secretion in humans.
    Am J Med. 1987 May 29;82(5B):49-54 PMID: 2884879
  8. A somatostatin analogue is protective against retrograde bile salt-induced pancreatitis in the rat.
    Pancreas. 1991 Sep;6(5):609-13 PMID: 1719527
  9. The effects of somatostatin and SMS 201-995 on experimentally-induced pancreatitis and endotoxaemia in rats and on monocyte activity in patients with cirrhosis and portal hypertension.
    Klin Wochenschr. 1986;64 Suppl 7:100-6 PMID: 2882047
  10. Pancreatic exocrine secretion in acute experimental pancreatitis.
    Gastroenterology. 1990 Oct;99(4):1120-7 PMID: 2394333
  11. A double-blinded multicenter trial of somatostatin in the treatment of acute pancreatitis.
    Surg Gynecol Obstet. 1992 Nov;175(5):397-400 PMID: 1279821
  12. A microsphere study on the effects of somatostatin and secretin on regional blood flow in anesthetized dogs.
    Regul Pept. 1982 Nov;4(6):341-51 PMID: 6129683
  13. Effects of somatostatin and a long-acting somatostatin analogue on the prevention and treatment of experimentally induced acute pancreatitis in the rat.
    Br J Surg. 1985 May;72(5):382-5 PMID: 2581647
  14. Effect of somatostatin 14 on pure human pancreatic secretion.
    Dig Dis Sci. 1987 Oct;32(10):1065-70 PMID: 2888607
  15. Prediction of outcome in acute pancreatitis: a comparative study of APACHE II, clinical assessment and multiple factor scoring systems.
    Br J Surg. 1990 Nov;77(11):1260-4 PMID: 2253005
  16. Somatostatin suppresses secretin and pancreatic exocrine secretion.
    Science. 1975 Oct 10;190(4210):163-5 PMID: 1166308
  17. Adverse effect of therapeutic vasoconstrictors in experimental acute pancreatitis.
    Ann Surg. 1991 Aug;214(2):168-74 PMID: 1714268
  18. Effects of a somatostatin analogue (SMS 201-995) on hepatic and splenic reticulo-endothelial function in the rat.
    Br J Surg. 1985 Dec;72(12):1005-8 PMID: 2867801
  19. Role of octreotide in the prevention of postoperative complications following pancreatic resection.
    Am J Surg. 1992 Jan;163(1):125-30; discussion 130-1 PMID: 1733360
  20. Somatostatin stimulates clearance and hepatic uptake of colloidal carbon in the rat.
    Life Sci. 1983 Nov 14;33(20):1975-80 PMID: 6139726
  21. Somatostatin and somatostatin analogues--are they indicated in the management of acute pancreatitis?
    Gut. 1993 Nov;34(11):1622-6 PMID: 7902312
  22. Transition of pancreatic edema into pancreatic necrosis.
    Surg Gynecol Obstet. 1948 Jul;87(1):79-82 PMID: 18860330
  23. Somatostatin in the treatment of acute pancreatitis: a prospective randomised controlled trial.
    Gut. 1989 Feb;30(2):223-7 PMID: 2564834
  24. The use of somatostatin in acute pancreatitis--results of a multicenter trial.
    Hepatogastroenterology. 1990 Feb;37(1):92-8 PMID: 1968880
  25. Cytoprotection - organoprotection by somatostatin: gastric and hepatic lesions.
    Experientia. 1982 Feb 15;38(2):254-6 PMID: 6120852
  26. Effects of somatostatin on exocrine and endocrine pancreatic function stimulated by intestinal hormones in man.
    Horm Metab Res. 1976 Jan;8(1):74-8 PMID: 765255
  27. Relationship between the functional status of the reticuloendothelial system and the outcome of experimentally induced pancreatitis in young mice.
    Gastroenterology. 1983 Mar;84(3):461-9 PMID: 6185389
  28. Controlled trial of high-dose octreotide in treatment of acute pancreatitis. Evidence of improvement in disease severity.
    Dig Dis Sci. 1993 Apr;38(4):644-7 PMID: 8462363
Article Info
Journal
International journal of pancreatology : official journal of the International Association of Pancreatology
Abbr.
Int J Pancreatol
ISSN
0169-4197
Published
1997-02-00
Pages
13-9
Language
English
Region
United States
NLM ID
8703511
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: [email protected]