Castell Friguls E, Pérez Bote F, Puigdollers Pérez A, Otero Serra J C, Armengol Carrasco M, Oller Sales B, Bordes Prats R, Segura Movellán J, Salvá Lacombe J A
Servicio de Cirugía General, Hospital de Mollet, Universidad Autónoma Barcelona.
Rev Esp Enferm Dig. 1995 Jan;87(1):15-9.
Given the inhibition of gastric secretion by the "D" cells producing somatostatin in antral mucosa, as well as evidence of disorders of the postprandial blood glucose after antrectomy, we may expect as a result of the antral resection a series of modifications in the content of the "D" cells in duodenum and pancreas. The study group was made up of 30 Sprague-Dawley albino rats, distributed in 3 groups as follows: Billroth I, Billroth II and laparotomy. The "D" cell study and the morphometric analysis after immunohistochemical avidin-biotin, was carried out with an automatic image analyzer and a morphometric calculation program. The results show that: the "D" cell population decreased significantly in the B-II group while the number of pancreatic islets and the average insular surface, did not show significantly differences in the tree groups, the relationship of the average insular surface with respect to the pancreas, decreased significantly in the two groups with antrectomy, expressing a hyperplasia of the exocrine pancreas and that the number of insular "D" cells decreased significantly in the B-II group and didn't change in the B-I group. These findings suggest that antrectomy, originates an increase of the exocrine pancreas and that antrectomy with gastrojejunal anastomosis excluding the duodenum, decreases the number of duodenal "D" cells and number of "D" cells of the pancreatic islets.
鉴于胃窦黏膜中产生生长抑素的“D”细胞对胃酸分泌有抑制作用,以及胃窦切除术后餐后血糖紊乱的证据,我们可以预期,胃窦切除术后十二指肠和胰腺中“D”细胞的含量会发生一系列变化。研究组由30只Sprague-Dawley白化大鼠组成,分为以下3组:毕罗I式、毕罗II式和剖腹术组。采用自动图像分析仪和形态计量计算程序,对免疫组织化学抗生物素蛋白-生物素法处理后的“D”细胞进行研究和形态计量分析。结果表明:毕罗II式组的“D”细胞数量显著减少,而三组的胰岛数量和平均胰岛面积无显著差异;在两组胃窦切除术中,平均胰岛面积与胰腺的关系显著降低,提示外分泌胰腺增生;毕罗II式组的胰岛“D”细胞数量显著减少,毕罗I式组则无变化。这些发现表明,胃窦切除术会导致外分泌胰腺增加,而不包括十二指肠的胃空肠吻合术式的胃窦切除术会减少十二指肠“D”细胞数量和胰岛“D”细胞数量。