Somatostatin, anaesthesia, and the carcinoid syndrome. Peri-operative administration of a somatostatin analogue to suppress carcinoid tumour activity

Anaesthesia. 1987 Jun;42(6):627-32. doi: 10.1111/j.1365-2044.1987.tb03087.x.


A patient with carcinoid syndrome on long-term antiserotonin therapy with parachlorophenylalanine, experienced a flushing attack with hypotension during the prophylactic administration of aprotonin prior to the induction of anaesthesia. When she was subsequently prepared with a long-acting somatostatin analogue, octreotide (Sandostatin, Sandoz SMS 201-995), plasma levels of tumour-released hormones were reduced and anaesthesia for resection of hepatic metastases was uneventful. The advantages of an anaesthetic approach based on inhibition of carcinoid tumour activity, rather than antagonism of released hormones, are discussed.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, General
  • Female
  • Humans
  • Intraoperative Complications / prevention & control
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Malignant Carcinoid Syndrome / drug therapy
  • Malignant Carcinoid Syndrome / surgery*
  • Middle Aged
  • Octreotide
  • Premedication*
  • Somatostatin / analogs & derivatives*
  • Somatostatin / therapeutic use


  • Somatostatin
  • Octreotide