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      Somatostatin in the Management of Gastrointestinal Hemorrhage: Bleeding Ulcers

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          Stress ulcers are characterized by difficult management and poor prognosis. They currently represent a complication in the clinical course of other conditions, mainly shock states. The pathogenesis of stress ulcers is not well understood although the role of hypovolemia leading to energetic deprivation and instauration of anaerobic cellular metabolism have been carefully studied. Somatostatin has been found to reduce the incidence of experimental stress ulcers. In the clinic, patients with duodenal ulcers were found to exhibit a low number of antral D cells and a significant decrease in tissue somatostatin. In a multicenter trial, patients with bleeding peptic or stress ulcers were treated with somatostatin or cimetidine plus pirenzepine. Results were favorable to the former substance on account of the time required to stop the hemorrhage and the demands for blood replacement. Thus, medical management of bleeding ulcers with somatostatin may represent an alternative to more radical surgical intervention.

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          Author and article information

          Horm Res Paediatr
          Hormone Research in Paediatrics
          S. Karger AG
          28 November 2008
          : 29
          : 2-3
          : 103-105
          Department of Surgery, San Carlos University Hospital, University of Madrid, Spain
          180980 Horm Res 1988;29:103–105
          © 1988 S. Karger AG, Basel

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          Page count
          Pages: 3
          Somatostatin: Recent Advances in Basic Research and Clinical Applications


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