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[胃窦支对犬胃迷走神经切断术中胃窦胃泌素和生长抑素浓度的影响]

[The effect of antral branch on canine antral gastrin and somatostatin concentrations in gastric vagotomy].

作者信息

Tsutsui M

出版信息

Nihon Geka Gakkai Zasshi. 1985 Nov;86(11):1505-16.

PMID:2867460
Abstract

Three types of vagotomy: selective proximal gastric vagotomy with (SPV + P) or without (SPV) pyloroplasty and selective gastric vagotomy with pyloroplasty (SV + P) were performed on mongrel dogs, and antral immunoreactive gastrin (IRG) concentration and somatostatin like immunoreactivity (SLI) concentration were measured before and after operations. In both SPV and SPV + P groups, significant (p less than 0.01) increase in IRG concentration at the 8th and 12th postoperative weeks were observed. IRG concentration at the 12th postoperative week was significantly high (p less than 0.01) in SPV + P group compared with that in SPV group. In SV + P group, no significant change in IRG concentration was observed up to the 12th postoperative week, however, after 6th postoperative month a significant (p less than 0.01) increase was observed. SLI concentration showed no significant increase in both SPV and SV + P groups. In SPV + P group, it showed a significant (p less than 0.05) increase at the 12th postoperative week, when IRG concentration was remarkably high compared with that in the other groups. Furthermore, a significant (p less than 0.01) correlation was observed between pre- and post-operative IRG concentrations and SLI concentrations in SPV and SPV + P groups. The above results suggested that the antral branch influenced the increase in antral IRG concentration early after vagotomy and that the IRG increase might affect the increase in SLI concentration.

摘要

对杂种犬施行三种类型的迷走神经切断术

选择性近端胃迷走神经切断术联合(SPV + P)或不联合(SPV)幽门成形术,以及选择性胃迷走神经切断术联合幽门成形术(SV + P),并在手术前后测量胃窦部免疫反应性胃泌素(IRG)浓度和生长抑素样免疫反应性(SLI)浓度。在SPV组和SPV + P组中,术后第8周和第12周时IRG浓度均显著(p < 0.01)升高。与SPV组相比,SPV + P组术后第12周时IRG浓度显著更高(p < 0.01)。在SV + P组中,直至术后第12周IRG浓度均未观察到显著变化,然而,术后6个月后观察到显著(p < 0.01)升高。在SPV组和SV + P组中,SLI浓度均未显示出显著升高。在SPV + P组中,术后第12周时显示出显著(p < 0.05)升高,此时IRG浓度与其他组相比显著更高。此外,在SPV组和SPV + P组中,术前和术后的IRG浓度与SLI浓度之间观察到显著(p < 0.01)相关性。上述结果提示,迷走神经切断术后早期,胃窦分支影响胃窦IRG浓度的升高,且IRG的升高可能影响SLI浓度的升高。

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