title: Acute kidney injury following vomiting and diarrhea after endoscopy in a duodenal gastrinoma patient.
abstract: A 51-year-old woman complaining of weakness in the limbs was diagnosed as having a duodenal gastrinoma on performing a further evaluation. Surgical resection was performed with selective arterial calcium injection for localization. During preoperative hospitalization, she experienced recurrent severe vomiting and diarrhea after endoscopy, leading to acute kidney injury. To our knowledge, this is the first report of gastrinoma with post-endoscopy symptom exacerbation. Although the etiology is unknown, the findings in this case suggest that sufficient fluid replacement, sedation, and high-dose proton pump inhibitor administration should be taken into consideration when performing endoscopy in gastrinoma patients.
authors.affiliation: Department of Gastroenterology, Kanazawa University Hospital.
authors.forename: Miyabi
authors.initials: M
authors.lastname: Miura
authors.forename: Kazuya
authors.initials: K
authors.lastname: Kitamura
authors.forename: Kuniaki
authors.initials: K
authors.lastname: Arai
authors.forename: Kazunori
authors.initials: K
authors.lastname: Kawaguchi
authors.forename: Taro
authors.initials: T
authors.lastname: Yamashita
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Sakai
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Yamashita
authors.forename: Eishiro
authors.initials: E
authors.lastname: Mizukoshi
authors.forename: Masao
authors.initials: M
authors.lastname: Honda
authors.forename: Shuichi
authors.initials: S
authors.lastname: Kaneko
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000517:prevention & control; D003967:Diarrhea / Q000209:etiology / Q000517:prevention & control; D004379:Duodenal Neoplasms / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects; D005260:Female; D005440:Fluid Therapy; D015408:Gastrinoma / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D054328:Proton Pump Inhibitors / Q000008:administration & dosage; D014839:Vomiting / Q000209:etiology / Q000517:prevention & control
chemical_list: D054328:Proton Pump Inhibitors