Diabetes, Rebound Hypersecretion of GH and other hormones & Rebound effect on Fistula in patients with Enterocutaneous Fistulas after discontinuation of Somatostatin Infsn., Treatment preferably in ICU with 4-6 hours, Monitor Blood Sugar & Serum electrolytes, Initial Hypoglycaemia (both Insulin & Glucagon Inhibition) followed by Hyperglycaemia (Glucagon normalizes earlier than Insulin) is likely, The IV Ifsn. should continue uninterrupted (start a new Infsn. pack before the preceding one finishes). |