PMID- 33309626 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20211018 IS - 1424-3911 (Electronic) IS - 1424-3903 (Linking) VI - 21 IP - 1 DP - 2021 Jan TI - Total gastrectomy for severe proton pump inhibitor-induced hypomagnesemia in a MEN1/Zollinger Ellison syndrome patient. PG - 236-239 LID - S1424-3903(20)30862-0 [pii] LID - 10.1016/j.pan.2020.12.002 [doi] AB - We report here the first case of life-threatening hypomagnesemia in a Zollinger-Ellison syndrome patient with multiple endocrine neoplasia type 1 (MEN1) syndrome. The severe symptomatic hypomagnesemia proved to be due to proton pump inhibitors (PPIs), but withdrawal of PPIs led to early severe peptic complications despite a substitution by histamine H2-receptor antagonist therapy. Simultaneous management of life-threatening hypomagnesemia, severe gastric acid hypersecretion and MEN1-associated gastrinomas was complex. A total gastrectomy was performed in order to definitely preclude the use of PPIs in this frail patient who was not eligible for curative pancreatoduodenal resection. CI - Copyright (c) 2020 IAP and EPC. Published by Elsevier B.V. All rights reserved. FAU - Perrier, Marine AU - Perrier M AD - Department of Gastroenterology and Digestive Oncology, Reims University Hospital, Reims, France. Electronic address: mperrier@chu-reims.fr. FAU - Delemer, Brigitte AU - Delemer B AD - Department of Endocrinology, Diabetes and Nutrition, Reims University Hospital, Reims, France; Center for Research in Sciences and Technologies of Information and Communication (CReSTIC), University of Reims Champagne Ardennes (URCA), France. FAU - Deguelte, Sophie AU - Deguelte S AD - Department of General and Digestive Surgery, Reims University Hospital, Reims, France. FAU - Legros, Vincent AU - Legros V AD - Department of Intensive Care Medicine, Reims University Hospital, Reims, France. FAU - Brixi, Hedia AU - Brixi H AD - Department of Gastroenterology and Digestive Oncology, Reims University Hospital, Reims, France. FAU - Kianmanesh, Reza AU - Kianmanesh R AD - Department of General and Digestive Surgery, Reims University Hospital, Reims, France. FAU - Cadiot, Guillaume AU - Cadiot G AD - Department of Gastroenterology and Digestive Oncology, Reims University Hospital, Reims, France. LA - eng PT - Case Reports PT - Journal Article DEP - 20201207 PL - Switzerland TA - Pancreatology JT - Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] JID - 100966936 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Frailty MH - Gastrectomy/*methods MH - Humans MH - Magnesium Deficiency/*chemically induced/*surgery MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/complications/*surgery MH - Peptic Ulcer/drug therapy MH - Proton Pump Inhibitors/*adverse effects MH - Stomach/pathology MH - Treatment Outcome MH - Zollinger-Ellison Syndrome/complications/*surgery OTO - NOTNLM OT - Gastrinoma OT - Hypomagnesemia OT - Multiple endocrine neoplasia type 1 syndrome OT - Proton pump inhibitor OT - Total gastrectomy OT - Zollinger-Ellison syndrome EDAT- 2020/12/15 06:00 MHDA- 2021/10/21 06:00 CRDT- 2020/12/14 10:15 PHST- 2020/05/24 00:00 [received] PHST- 2020/12/01 00:00 [revised] PHST- 2020/12/02 00:00 [accepted] PHST- 2020/12/15 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2020/12/14 10:15 [entrez] AID - S1424-3903(20)30862-0 [pii] AID - 10.1016/j.pan.2020.12.002 [doi] PST - ppublish SO - Pancreatology. 2021 Jan;21(1):236-239. doi: 10.1016/j.pan.2020.12.002. Epub 2020 Dec 7.