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胰石症与胰腺癌。5,5 - 二甲基 - 2,4 - 恶唑烷二酮胰腺排泄试验的评估

Pancreatolithiasis and pancreatic carcinoma. Evaluation of pancreatic excretion test with 5,5-dimethyl-2,4-oxazolidinedione.

作者信息

Noda A, Kamiya N, Takayama T, Hayakawa T

出版信息

Arch Intern Med. 1977 Jun;137(6):754-60. doi: 10.1001/archinte.137.6.754.

DOI:10.1001/archinte.137.6.754
PMID:869646
Abstract

The pancreatic excretion test with a weak acid of 5, 5-dimethyl-2,4-oxazolidinedione (DMO) was performed concomitantly with the pancreozymin-secretin test in 28 patients with pancreatolithiasis, 14 patients with pancreatic carcinoma, and 67 healthy subjects. The DMO concentration and total output of duodenal content after secretin stimulation, when corrected to the simultaneously determined plasma DMO concentration, were significantly reduced in the patients. While the pancreozymin-secretin test was abnormal in 96% of patients with pancreatolithiasis and in 86% of those with pancreatic carcinoma, the pancreatic DMO excretion test gave abnormal results in 100% of the patients. This suggests that the new test may well become effective in detecting early stages of pancreatic disease including carcinoma and chronic pancreatitis.

摘要

对28例胰腺结石病患者、14例胰腺癌患者和67名健康受试者同时进行了用5,5 - 二甲基 - 2,4 - 恶唑烷二酮(DMO)这种弱酸进行的胰腺排泄试验以及促胰液素 - 促胰酶素试验。在促胰液素刺激后,经校正至同时测定的血浆DMO浓度后,患者十二指肠内容物的DMO浓度和总排出量显著降低。虽然促胰液素 - 促胰酶素试验在96%的胰腺结石病患者和86%的胰腺癌患者中结果异常,但胰腺DMO排泄试验在100%的患者中结果异常。这表明这项新试验在检测包括癌症和慢性胰腺炎在内的胰腺疾病早期阶段可能会很有效。

相似文献

1
Pancreatolithiasis and pancreatic carcinoma. Evaluation of pancreatic excretion test with 5,5-dimethyl-2,4-oxazolidinedione.胰石症与胰腺癌。5,5 - 二甲基 - 2,4 - 恶唑烷二酮胰腺排泄试验的评估
Arch Intern Med. 1977 Jun;137(6):754-60. doi: 10.1001/archinte.137.6.754.
2
Pancreatic excretion of 5,5-dimethyl-2,4-oxazolidinedione in patients with chronic pancreatitis.慢性胰腺炎患者胰腺对5,5-二甲基-2,4-恶唑烷二酮的排泄情况。
Am J Dig Dis. 1975 Nov;20(11):1019-26. doi: 10.1007/BF01071189.
3
Pancreatic excretion of 5, 5-dimethyl-2, 4-oxazolidinedione in normal subjects.正常受试者胰腺对5,5-二甲基-2,4-恶唑烷二酮的排泄情况。
Am J Dig Dis. 1975 Nov;20(11):1011-8. doi: 10.1007/BF01071188.
4
Pancreatic excretion test and barrier hypothesis in progression of chronic pancreatitis.慢性胰腺炎进展中的胰腺排泄试验与屏障假说
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Clinical evaluation of pancreatic excretion test with dimethadione and oral BT-PABA test in chronic pancreatitis.二甲双酮胰腺排泄试验与口服BT-PABA试验在慢性胰腺炎中的临床评估
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Comparative pharmacokinetic study of trimethadione and dimethadione for lysis of pancreatic stones.三甲双酮和二甲双酮用于溶解胰腺结石的比较药代动力学研究。
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The excretion of dimethadione in pure pancreatic juice and bile in postoperative patients.术后患者纯胰液和胆汁中二甲双酮的排泄情况。
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A method for estimation of hepatic drug-metabolizing capacity: determination of concentration of trimethadione and its metabolite in human serum.一种评估肝脏药物代谢能力的方法:测定人血清中三甲双酮及其代谢物的浓度。
J Pharmacobiodyn. 1984 May;7(5):329-35. doi: 10.1248/bpb1978.7.329.

引用本文的文献

1
Pancreatic carcinoma.胰腺癌
J Natl Med Assoc. 1980 Jun;72(6):589-90.
2
The excretion of dimethadione in pure pancreatic juice and bile in postoperative patients.术后患者纯胰液和胆汁中二甲双酮的排泄情况。
Gastroenterol Jpn. 1984 Apr;19(2):121-6. doi: 10.1007/BF02806934.
3
Clinical evaluation of pancreatic excretion test with dimethadione and oral BT-PABA test in chronic pancreatitis.二甲双酮胰腺排泄试验与口服BT-PABA试验在慢性胰腺炎中的临床评估
Dig Dis Sci. 1983 Mar;28(3):230-5. doi: 10.1007/BF01295118.
4
Comparative pharmacokinetic study of trimethadione and dimethadione for lysis of pancreatic stones.三甲双酮和二甲双酮用于溶解胰腺结石的比较药代动力学研究。
Gastroenterol Jpn. 1986 Apr;21(2):167-71. doi: 10.1007/BF02774835.
5
Macroautoradiographic and densitometric studies of [14C]dimethadione in rats: accumulation of the compound in the pancreas.大鼠体内[14C]二甲双酮的宏观放射自显影和光密度测定研究:该化合物在胰腺中的蓄积
Gastroenterol Jpn. 1988 Feb;23(1):56-60. doi: 10.1007/BF02918857.