Klimes I
Vnitr Lek. 1989 Jul;35(7):701-9.
Gastrointestinal hormones and regulatory peptides of the gastrointestinal tract (GIT) influence many digestive functions and therefore it is essential in diseases of the GIT to search also for changes of GIT hormones in plasma or for an altered response of the target organ to hormonal abnormalities. An unequivocal physiological function is known so far only in gastrin, cholecystokinin, secretin, gastric inhibitory polypeptide, vasoactive intestinal polypeptide, motilin, somatostatin, glucagon and pancreatic polypeptide. The authors analyzes therefore different nosological unites, or clinical syndromes associated with excessive production of gastrin, vasoactive intestinal polypeptide, glucagon and somatostatin. He discusses also the syndrome of malignant carcinoid caused by excessive formation of serotonin in the enterochromaffin cells of the GIT which by its symptoms can imitate some apudomas of the GIT.
胃肠道激素和胃肠道(GIT)的调节肽会影响许多消化功能,因此在胃肠道疾病中,寻找血浆中胃肠道激素的变化或靶器官对激素异常的反应改变至关重要。到目前为止,仅在胃泌素、胆囊收缩素、促胰液素、胃抑制多肽、血管活性肠多肽、胃动素、生长抑素、胰高血糖素和胰多肽中发现了明确的生理功能。因此,作者分析了与胃泌素、血管活性肠多肽、胰高血糖素和生长抑素过度产生相关的不同疾病实体或临床综合征。他还讨论了由胃肠道肠嗜铬细胞中5-羟色胺过度形成引起的恶性类癌综合征,其症状可能会模仿一些胃肠道的APUD瘤。