Table 2. Change in CgA levels in 19 patients after discontinuation of PPIs treatment.
Patient | Sex, age (years) | Grade | Primary site | Status of disease | Carcinoid syndrome | GFR (ml per minute per 1.73 m2) | Replacement | CgA (μg l–1) during PPI | CgA (μg l–1) after PPI | CgA change (%) |
---|---|---|---|---|---|---|---|---|---|---|
1 | F, 63 | G1 | Appendix | NED | NA | 85 | H2RA | 425 | 120 | −72 |
2 | F, 51 | G2 | Lung | NED | NA | 86 | H2RA | 307 | 42 | −86 |
3 | F, 54 | G2 | Lung | NED | NA | 76 | Stop | 178 | 51 | −71 |
4 | F, 42 | G1 | Lung | NED | NA | 72 | Stop | 123 | 15 | −88 |
5 | M, 65 | G1 | Small bowel | NED | NA | 95 | Stop | 266 | 40 | −85 |
6 | F, 77 | G1 | Small bowel | NED | NA | 93 | Stop | 1310 | 245 | −81 |
7 | F, 61 | G1 | Small bowel | NED | NA | 50 | Stop | 1610 | 181 | −89 |
8 | F, 65 | G1 | Small bowel | NED | NA | 77 | H2RA | 206 | 48 | −77 |
9 | M, 76 | G1 | Small bowel | NED | NA | 90 | H2RA | 390 | 65 | −83 |
10 | F, 67 | G1 | Pancreas | NED | NA | 102 | Stop | 404 | 56 | −86 |
11 | M, 75 | G1 | Small bowel | NED | NA | 59 | Stop | 576 | 101 | −82 |
12 | M, 68 | G1 | Pancreas | SD | Yes | 82 | H2RA | 1367 | 332 | −76 |
13 | F, 67 | G1 | Small bowel | SD | Yes | 78 | H2RA | 588 | 148 | −75 |
14 | F, 50 | G1 | Pancreas | SD | No | 78 | Stop | 1330 | 305 | −77 |
15 | F, 66 | G1 | Small bowel | SD | No | 60 | Stop | 646 | 436 | −33 |
16 | F, 56 | G1 | Unknown | SD | Yes | 72 | H2RA | 235 | 38 | −84 |
17 | F, 60 | G1 | Unknown | SD | Yes | 67 | Stop | 872 | 421 | −52 |
18 | M, 78 | G1 | Small bowel | SD | Yes | 36 | Stop | 589 | 380 | −35 |
19 | M, 67 | G1 | Small bowel | SD | No | 124 | Stop | 587 | 95 | −84 |
Abbreviations: CgA=chromogranin A; F=female; GFR=glomerular filtration rate; H2RA=H2-receptor antagonist; M=male; NA=not applicable; NED=no evidence of disease; PPI=proton pump inhibitor; SD=stable disease.