Boerma D, Straatsburg I H, Offerhaus G J A, Gouma D J, van Gulik T M
Department of Surgery (Surgical Laboratory), Academic Medical Center, Amsterdam, The Netherlands.
Dig Surg. 2003;20(6):520-6. doi: 10.1159/000073688. Epub 2003 Sep 24.
We aimed to develop a reproducible, experimental model of obstructive pancreatitis for future analysis of surgical interventions, and characterized this model using functional, histological and biochemical parameters.
In 10 female pigs the pancreatic duct (PD) was ligated. After 4, 6 or 8 weeks the animals were sacrificed. Before and after ligation, glucose tolerance and intraductal pressure were measured, and pancreatic juice was collected after stimulation with cholecystokinin and secretin. Amylase and lipase activities were analyzed in plasma and juice. Pancreatic tissue was collected for histochemical analysis.
Within 4 weeks of ligation, the pancreas appeared atrophic. Intraductal pressure had risen significantly. Acinar-to-ductal metaplasia was accompanied by strong proliferation of stellate cells and increased collagen deposition. Islets of Langerhans appeared smaller and more numerous. Blood amylase and lipase levels were normal and glucose tolerance was unaffected. Pancreatic juice volume and amylase and lipase activities were significantly lower.
Ligation of the PD in pigs resulted in a marked fibrosing obstructive pancreatitis within 4 weeks, similar to human chronic pancreatitis in regard to clinical, functional, histological and biochemical parameters.
我们旨在建立一种可重复的梗阻性胰腺炎实验模型,以便未来对外科手术干预进行分析,并使用功能、组织学和生化参数对该模型进行表征。
对10只雌性猪结扎胰管。4、6或8周后处死动物。在结扎前后测量葡萄糖耐量和导管内压力,并用胆囊收缩素和促胰液素刺激后收集胰液。分析血浆和胰液中的淀粉酶和脂肪酶活性。收集胰腺组织进行组织化学分析。
结扎后4周内,胰腺出现萎缩。导管内压力显著升高。腺泡-导管化生伴有星状细胞的强烈增殖和胶原沉积增加。胰岛变小且数量增多。血淀粉酶和脂肪酶水平正常,葡萄糖耐量未受影响。胰液量以及淀粉酶和脂肪酶活性显著降低。
猪胰管结扎在4周内导致明显的纤维性梗阻性胰腺炎,在临床、功能、组织学和生化参数方面与人类慢性胰腺炎相似。