• Media type: E-Article
  • Title: Selective mesenteric vein catheterization and plasma serotonin determination in patients with carcinoid tumors
  • Contributor: Nobin, Anders; Axelsson, Sture; Falck, Bengt; Ingemansson, Stig; Lunderquist, Anders; Mårtensson, Hans; Reichardt, Wolfgang
  • imprint: Wiley, 1983
  • Published in: World Journal of Surgery
  • Language: English
  • DOI: 10.1007/bf01656147
  • ISSN: 1432-2323; 0364-2313
  • Keywords: Surgery
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:p><jats:bold>Selective abdominal vein catheterization with blood sampling for serotonin determination was evaluated regarding its use in the diagnosis, location, and characterization of carcinoids. Serotonin was determined in a platelet‐poor plasma fraction (PPP) by an enzymatic procedure</jats:bold>.</jats:p><jats:p><jats:bold>In 5 normal subjects the concentration of serotonin in PPP in the celiac artery, the hepatic vein, and different intestinal and pancreatic veins ranged from 1.2 to 5.4 ng/ ml. In 10 patients with carcinoid tumors, the concentration of serotonin in tumor‐draining veins was clearly elevated and ranged from 10 ng/ml to 88 ng/ml PPP. 5‐HIAA urine levels were false‐negative in 4 cases, liver scintiscan was false‐negative in 3 cases, and the angiograms were not conclusive in 2 cases</jats:bold>.</jats:p><jats:p><jats:bold>The technique with plasma serotonin determination in combination with selective catheterization is a useful complement to other investigative techniques in the diagnosis, location, and follow‐up of patients with carcinoid tumors</jats:bold>.</jats:p>