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[胰高血糖素和胰岛素对犬肝切除术后胰岛组织化学及功能改变的影响]

[Effect of glucagon and insulin on the histochemical and functional alterations in the Langerhans islands after hepatectomy in dogs].

作者信息

Kanazawa H

机构信息

Second Department of Surgery, Kinki University School of Medicine, Osaka, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1991 May;92(5):535-42.

PMID:1875894
Abstract

Changes of Langerhans islands after 40% hepatectomy, and effects of GI therapy on the islets were investigated in dogs. In control group, one week and four weeks after the hepatectomy, ivGTT was examined followed by a blood sampling from the portal vein to measure the changes of glucose, insulin and glucagon, and areal changes of the islets were measured. In GI group, the same experiment was done with added GI therapy after operation. The following results were obtained. 1) In control group, portal plasma insulin level and insulin response were decreased one week after surgery, and sizes of islets were enlarged four weeks after surgery. 2) In GI group, there were no decrease in portal plasma insulin level and insulin response one week after surgery, and no enlargement of the sizes of the islets four weeks after surgery. 3) Changes in glucagon level and glucagon response were same as those of insulin, glucose level and these response. There was no difference between the two groups. 4) According to these observation, glucagon and insulin are exhausted one week after hepatectomy in dogs. It seems to be necessary to provide the dog with glucagon and insulin after hepatectomy.

摘要

研究了40%肝切除术后犬胰岛的变化以及胃肠激素疗法对胰岛的影响。对照组在肝切除术后1周和4周进行静脉葡萄糖耐量试验(ivGTT),随后从门静脉采血以测量葡萄糖、胰岛素和胰高血糖素的变化,并测量胰岛的面积变化。胃肠激素(GI)组在术后加用胃肠激素疗法进行相同实验。得到以下结果:1)对照组术后1周门静脉血浆胰岛素水平和胰岛素反应降低,术后4周胰岛大小增大。2)胃肠激素组术后1周门静脉血浆胰岛素水平和胰岛素反应无降低,术后4周胰岛大小无增大。3)胰高血糖素水平和胰高血糖素反应的变化与胰岛素、葡萄糖水平及其反应相同。两组之间无差异。4)根据这些观察结果,犬肝切除术后1周胰高血糖素和胰岛素耗尽。肝切除术后似乎有必要给犬补充胰高血糖素和胰岛素。

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