Deficiencies in fat-soluble vitamins in long-term users of somatostatin analogue

Aliment Pharmacol Ther. 2010 Dec;32(11-12):1398-404. doi: 10.1111/j.1365-2036.2010.04479.x. Epub 2010 Oct 7.

Abstract

Background: Somatostatin analogues are administered to control hormone hypersecretion in acromegaly and carcinoid patients. Somatostatin analogues can increase fat in the stools, which can lead to loss of fat-soluble vitamins. The effect of long-term somatostatin analogue use on vitamin levels remains unknown.

Aim: To investigate the prevalence of fat-soluble vitamin deficiencies in long-term somatostatin analogue users.

Methods: All acromegaly and carcinoid patients using somatostatin analogues for ≥ 18 months visiting the University Medical Center Groningen between December 2008 and April 2009 were eligible. Vitamin levels of fat-soluble vitamins in blood, clinical and vitamin-dependent laboratory parameters were collected.

Results: In all, 19 acromegaly and 35 carcinoid patients were included. Twelve patients experienced steatorrhoea; two carcinoid patients experienced night blindness. Forty-two (78%) were deficient for one or more vitamins, and 32% (n = 17) had multiple deficiencies. Deficiencies for vitamin A, D, E, K1 and E in erythrocytes occurred in 6%, 28%, 15%, 63% and 58% of the patients. Prevalence of vitamin D, E and K1 deficiencies was similar in both patient groups. Treatment duration did not influence vitamin levels. The length of intestinal resection and age correlated negatively with vitamin A levels.

Conclusions: Fat-soluble vitamin deficiencies are frequent during long-term somatostatin analogue treatment. Therefore, fat-soluble vitamins should be monitored in these patients.

MeSH terms

  • Acromegaly / drug therapy*
  • Adult
  • Aged
  • Aged, 80 and over
  • Avitaminosis / chemically induced*
  • Carcinoid Tumor / drug therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Somatostatin / adverse effects
  • Somatostatin / analogs & derivatives*
  • Time Factors
  • Vitamins / blood*

Substances

  • Vitamins
  • Somatostatin