| Literature DB >> 7021331 |
R G Long, M G Bryant, P M Yuille, J M Polak, S R Bloom.
Abstract
A female patient is described with a single pancreatic tumour producing vasoactive intestinal polypeptide (VIP), insulin, and pancreatic polypeptide. The initial presentation was with diarrhoea and hypokalaemia and a raised plasma VIP was demonstrated. Her symptoms improved with metoclopramide administration and absolute concentrations of 28 aminoacid (peak IV) VIP were found to have fallen. She then developed hypoglycaemia with hyperinsulinism. All symptoms resolved after surgical excision. This case emphasises the potential of these tumours to contain more than one endocrine cell type synthesising different biologically active peptides.Entities:
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Year: 1981 PMID: 7021331 PMCID: PMC1419268 DOI: 10.1136/gut.22.6.505
Source DB: PubMed Journal: Gut ISSN: 0017-5749 Impact factor: 23.059