Expression and processing of
gastrin in hepatocellular carcinoma, fibrolamellar carcinoma and cholangiocarcinoma.
This may be due to increased
gastrin secretion, parietal cell hyperplasia or upregulation of proton pump activity.
Gastrin and colorectal cancer: a prospective study.
Tumour Age to Biochemical test Imaging test begin(y) annually (Time interval) Parathyroid 8 Calcium, PTH None Pancreas 20
Gastrin None Gastrinoma Insulinoma 5 Fasting glucose, None Insulin Other <10 Chromogranin-A, MRI, CT or pancreatic NET PP, glucagon, VIP endoscopic US Pituitary 5 Prolactin, IGF-1 MRI (every 3 y) Adrenal 19 None unless >1cm lesion or MRI or CT symptoms Thymic and 15 None CT or MRI(1-2y) bronchial carcinoid
Plasma fasting
gastrin and glucagon levels were within normal ranges.
The possible mechanisms involved in this process include decreased pancreatic polypeptide, glucagon, cholecystokinin,
gastrin and gastrointestinal hormone levels, D cell damage reduction and improved somatostatin synthesis and release.
It is important to mention that ghrelin plasma levels may be affected by other hormones, such as
gastrin and leptin (27,38), and especially by age, as reported by Nouh et al.
NETs lead to increased hormone production which most commonly can result in low blood sugar if too much insulin is produced, high blood sugar if too much glucagon is produced, and gastric ulcers if too much
gastrin is produced.
pylori strains have been shown to affect the secretion of several hormones, including 5-HT, ghrelin, dopamine, and
gastrin, and altered levels of these hormones might be the cause of the psychological disorders of functional dyspepsia patients.
Further investigations were also positive for intrinsic factor-blocking antibodies and an elevated
gastrin level consistent with a diagnosis of pernicious anemia.