Schumpelick V, Grossner D, Doehn M
Langenbecks Arch Chir. 1977 Dec 14;344(3):189-94. doi: 10.1007/BF01254073.
In 55 rats the role of pancreatic juice for the development of stress ulcers was stuided. After ligation of the common bile duct the stress ulcer incidence was significantly decreased. An additional pancreaticogastrostomy was followed by an even lower ulcer frequency. After pancreaticojejunostomy a higher ulcer incidence was found as after bile duct ligation alone. The role of a duodenogastric reflux for development of stress ulcers is discussed. The ulcerogenic property of bile acids and of the combination of bile and pancreatic juice, caused by lysolecithin, is demonstrated. Pancreatic juice doesn't work as an ulcerogenic substance, but possibly has a protective function by uffering the hydrochloric acid.
在55只大鼠中研究了胰液在应激性溃疡形成中的作用。结扎胆总管后,应激性溃疡的发生率显著降低。额外进行胰胃吻合术后,溃疡发生率更低。胰空肠吻合术后发现溃疡发生率高于单纯结扎胆管后。讨论了十二指肠-胃反流在应激性溃疡形成中的作用。证实了胆汁酸以及由溶血卵磷脂引起的胆汁与胰液混合物的致溃疡特性。胰液并非作为一种致溃疡物质起作用,而是可能通过缓冲盐酸具有保护功能。