Hirano T, Manabe T, Tobe T
First Department of Surgery, Faculty of Medicine, Kyoto University, Japan.
Hepatogastroenterology. 1991 Oct;38(5):404-7.
To explore the changes in exocrine pancreatic function in the stages of active regeneration and recovery after hepatectomy, we measured the caerulein-stimulated amylase and trypsinogen output in anesthetized rats 4 days and 8 days after about 70% hepatectomy. Both 4 days and 8 days after hepatectomy, the amylase output was significantly greater than in the control groups. On the other hand, 4 days after hepatectomy, the trypsinogen output was almost the same as in the control groups, and 8 days after hepatectomy, it was significantly lower than in the control groups. Thus, the secretion of amylase and trypsinogen 8 days after hepatectomy was not parallel. The amylase content of the pancreas was significantly larger after hepatectomy than in the control groups, but the trypsinogen content was significantly smaller. These results indicate a non-parallel secretion of pancreatic digestive enzymes, as well as differences in the functions of the acinar cells after partial hepatectomy, and the important role of amylase in glucose metabolism after hepatectomy.
为了探究肝切除术后活跃再生和恢复阶段胰腺外分泌功能的变化,我们在大约70%肝切除术后4天和8天,测量了麻醉大鼠中蛙皮素刺激后的淀粉酶和胰蛋白酶原分泌量。肝切除术后4天和8天,淀粉酶分泌量均显著高于对照组。另一方面,肝切除术后4天,胰蛋白酶原分泌量与对照组几乎相同,而肝切除术后8天,其显著低于对照组。因此,肝切除术后8天淀粉酶和胰蛋白酶原的分泌并不平行。肝切除术后胰腺的淀粉酶含量显著高于对照组,但胰蛋白酶原含量显著低于对照组。这些结果表明胰腺消化酶的分泌不平行,部分肝切除术后腺泡细胞功能存在差异,以及淀粉酶在肝切除术后葡萄糖代谢中的重要作用。