Lyme disease facial palsy: differentiation from Bell's palsy.

there have been only isolated reports of gall stones occurring during octreotide treatment.' Gall bladder contraction and cholecystokinin secretion in response to food are almost abolished by its administration4 and may contribute to stone formation. The high incidence of gall stones might have been due to the higher doses of the drug which we used. None of our patients had symptoms from the gall stones, and the correct management of the stones remains problematical.5 While further prospective studies of the incidence of gall stones during octreotide treatment are awaited we recommend the use of the smallest effective dose of octreotide.