Satoh M
Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 1998 Jan;73(1):37-46.
We studied the effects of SMS201-995, a long-acting somatostatin analogue, on bile-induced acute pancreatitis in the dog. According to morphometrical study, parenchymal necrotic ratio, zymogen granules area and zymogen granules occupied ratio of acinus were significantly decreased in SMS-treated pancreatitis. These results suggests that SMS-treated pancreatitis showed less damage than non-treated ones and decreased secretion of pancreatic enzyme. On the other hand, pancreatic blood flow showed a stronger decrease in SMS-treated dogs than in non-treated ones, and a significant difference was observed at 15 minutes and 1 hour after induction of pancreatitis. Many clinical and experimental evidences suggest that pancreatic ischemia causes acute pancreatitis. Pancreatitis may be worsened by an early phase treatment with SMS201-995, because this substance reduces pancreatic tissue blood flow. The harmful effect of this substance on pancreatic tissue blood flow must be kept in mind when SMS201-995 is used for therapeutic purpose of acute pancreatitis.
我们研究了长效生长抑素类似物SMS201 - 995对犬胆汁诱导的急性胰腺炎的影响。根据形态计量学研究,在经SMS治疗的胰腺炎中,实质坏死率、腺泡内酶原颗粒面积和酶原颗粒占比均显著降低。这些结果表明,经SMS治疗的胰腺炎比未治疗的胰腺炎损伤更小,且胰腺酶分泌减少。另一方面,经SMS治疗的犬胰腺血流下降幅度比未治疗的犬更大,在诱导胰腺炎后15分钟和1小时观察到显著差异。许多临床和实验证据表明,胰腺缺血会导致急性胰腺炎。胰腺炎可能会因早期使用SMS201 - 995治疗而恶化,因为这种物质会减少胰腺组织血流。当将SMS201 - 995用于急性胰腺炎的治疗目的时,必须牢记该物质对胰腺组织血流的有害影响。