Vipoma

Due to risk for severe dehydration patients with vipoma need intensive treatment with somatostatin analogue and intravenous fluid and electrolyte resuscitation before surgery. The tumours are generally large and located within the pancreatic tail, 50% have metastases at diagnosis. Treatment is surgical excision, and debulking surgery is considered in patients with metastases. Routine cholecystectomy may facilitate somatostatin analogue treatment.

Treatment of VIPoma
These patients should be evaluated for surgery, also if only debulking is possible. Due to risk for severe dehydration patients with Vipoma need intensive treatment with somatostatin analogue and intravenous fluid and electrolyte resuscitation before surgery. The tumors are generally large and located within the pancreatic tail, 50% have metastases at diagnosis.