Functional pancreatic neuroendocrine tumors

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  • เผยแพร่เมื่อ 6 ก.ย. 2024

ความคิดเห็น • 20

  • @POOP4u92
    @POOP4u92 5 ปีที่แล้ว +6

    Why would you treat a somatostatinoma with octreotide? Don't we already have an overproduction of somatostatin?

    • @androidkitkat1834
      @androidkitkat1834 5 ปีที่แล้ว +3

      Hey, I was wondering the same thing, and found this.
      "Somatostatin also inhibits its own secretion from the periventricular nucleus [82]"
      Source: www.sciencedirect.com/topics/medicine-and-dentistry/somatostatin-14

    • @themommysdiaries
      @themommysdiaries 2 ปีที่แล้ว

      Yes same question

  • @MichelleLathrom
    @MichelleLathrom 6 ปีที่แล้ว +1

    I wish it would enter mainstream education when it comes to insulinomas that they can be reactive. Strictly reactive. And that would make it not fulfill the whipples triad. It keeps people is agony and suffering miserably being misdiagnosed when the solution is so easy and the prognosis so good.
    Diazoxide is a way to inhibit an insulinoma if it’s not resectable or to keep it at bay until surgery. That’s important information too.

    • @ibsaamparvaiz3669
      @ibsaamparvaiz3669 5 ปีที่แล้ว

      That info is very helpful

    • @CulturalDoldrums
      @CulturalDoldrums 4 ปีที่แล้ว +1

      @Meesh Lathrom can you provide a link to research that supports insulinomas as reactive? I know your response is from two years ago so I hope you see this. I’ve only read they secrete intermittently and that the “on/off” mechanism is currently unknown. It makes sense that they would secrete in response to stress! I’m scheduled for a 72 hour fast in two days because insulinoma is suspected. I don’t think these functional tumors are as rare as current literature presents them to be.

    • @MichelleLathrom
      @MichelleLathrom 4 ปีที่แล้ว

      Abigail Helton they don’t respond to stress. But to food. Look up “insulinomas presenting with reactive hypoglycemia”. Look up those exact words and you’ll find a ton of case studies.
      Stress causing blood sugar woes is more of an adrenal insufficiency or even glycogen storage disease problem.
      I tried Diazoxide but in america it only comes in the liquid form. Which is alcohol suspension. Alcohol drops my sugar levels fast. So it was counterproductive. The alcohol was stronger than the medicine. Diazoxide is a calcium channel blocker. So is magnesium. So I’m taking that instead. It upsets my digest track alittle bit. (Sulfuric smelling gas) But my sugars seem more stable. And it’s very cheap and easy to come by.

    • @CulturalDoldrums
      @CulturalDoldrums 4 ปีที่แล้ว

      Meesh Lathrom thank you for your response. I’m going to read those case studies today. I would like to read more about your experience with insulinoma(s).

  • @imperiusss
    @imperiusss 8 ปีที่แล้ว +1

    thank you for your great work sir. Can you please make a list of neuroanatomy videos? A lot of students are struggling with it and there are no good complete resources about it.

  • @MichelleLathrom
    @MichelleLathrom 6 ปีที่แล้ว +1

    Otherwise nice video. The layout was very easy to follow and understand and your voice was easy to listen to.

  • @birthcertificate7223
    @birthcertificate7223 7 ปีที่แล้ว

    Thanks for your production. I have an appointment with endocrinology soon and I'm looking into the subject

  • @inthenameofmyfather3836
    @inthenameofmyfather3836 3 ปีที่แล้ว +1

    i have to eat every tow hours or i have severe hypoglycemia it goes away after i eat my blood sugar 90 at low 120 norm 180 high no one thinks i have insulinoma but me i cant get any help this has ruled my life for over 15 years i dont know what to do :(

    • @Christway1234
      @Christway1234 2 ปีที่แล้ว +2

      Have d same thing..its crazy..severe blood lows ..have to rush and eat cause it drops so often and so fast.

    • @edeeedee9153
      @edeeedee9153 2 ปีที่แล้ว +1

      @@Christway1234 mine when I feel hungry the blood pressure is low but didn't check sugar that time

    • @ishakadriansyah8085
      @ishakadriansyah8085 ปีที่แล้ว

      @@Christway1234 what are u diagnosed with? i have same symptom y

  • @gracerobinson7417
    @gracerobinson7417 ปีที่แล้ว

    Very informative. Thank you!

  • @avanatroshy1257
    @avanatroshy1257 3 ปีที่แล้ว

    Thank you doctor this video helped me a lot 🙏🏻

  • @deboo117
    @deboo117 4 ปีที่แล้ว +1

    Love your videos!

  • @sweatsock27
    @sweatsock27 2 ปีที่แล้ว

    amazing video thank you

  • @hassinayazid99
    @hassinayazid99 4 ปีที่แล้ว

    good explanation. thank you!