Upper GI Bleeding and Octreotide

[DartmouthDave]

Hello,

I have used Octreotide in the emergency management of bleeding gastroesophageal varices in patients with cirrhosis.

However, I just transfer a patient with upper GI bleeding (throat and nose) from cancer (not sure of type). He was on a Panto gtts and an Octreotide gtts. There was no history of cirrhosis.

I am not sure if the Ocreotide was indicated?

I was wondering if other have had expereince with this situation?

Cheers

[Doczilla]

Octreotide causes vasoconstriction of the splanchnic bed (mesenteric circulation), and in theory decreases rate of GI bleeding. Not sure it would do anything for nose cancer, but if there is bleeding further down in the GI tract, it might help.

'zilla