Zhao P, Tu J, Martens A, Ponette E, Van Steenbergen W, Oord J V, Fevery J
Division of Liver and Pancreatic Diseases, Catholic University of Leuven, Belgium.
Acad Radiol. 1998 Dec;5(12):850-6. doi: 10.1016/s1076-6332(98)80245-6.
The purpose of this study was to evaluate a variety of methods to induce chronic pancreatitis and its radiologic expression by experimentally inducing this condition in cats.
Chronic inflammatory and fibrosing pancreatitis was produced in cats by intraductal injection of 1.5 mL of 94% ethanol in one group or by a combination of intraductal and intraparenchymal injection of ethanol together with partial obstruction of the main pancreatic duct to 70% of its original lumen by fixation of a small catheter in the papilla. For comparison, other cats underwent total obstruction of the main pancreatic duct. All groups, as well as untreated control cats (n = 3), underwent repeat laparotomy to obtain biopsy specimens.
Cats with total obstruction showed progressing fibrosis with dilatation of ductules occasionally infiltrated with granulocytes. From 26 weeks on, acini and islets of Lnagerhans became atrophic. Radiographs showed progressive but diffuse dilatation of ducts, ductules, and side branches. Cats from the other two groups had interlobular inflammation and fibrosis with flattened and irregular ductular epithelium. Later, ductular proliferation occurred, interstitial inflammation subsided, and fibrosis increased. Radiographs showed very irregular ducts and ductules with stenosis and dilatation. From 26 weeks on, no substantial differences were observed between the cats who received only intraductal injection of ethanol and the cats who underwent the combination of procedures.
The histopathologic and radiographic alterations that evolved from damage to the ductal epithelium in the cat resembled the features of chronic pancreatitis in humans and differed from those caused by total obstruction of the main pancreatic duct in cats.
本研究的目的是通过在猫身上实验性诱导慢性胰腺炎,评估多种诱导慢性胰腺炎的方法及其放射学表现。
一组猫通过导管内注射1.5 mL 94%乙醇来诱导慢性炎症和纤维化性胰腺炎,另一组通过导管内和实质内联合注射乙醇,并通过将一根小导管固定在乳头处使主胰管部分梗阻至其原始管腔的70%来诱导。作为对照,其他猫接受主胰管完全梗阻。所有组以及未治疗的对照猫(n = 3)均接受重复剖腹手术以获取活检标本。
主胰管完全梗阻的猫显示出进行性纤维化,小导管扩张,偶尔有粒细胞浸润。从26周开始,腺泡和胰岛萎缩。X线片显示导管、小导管和侧支逐渐但弥漫性扩张。其他两组的猫有小叶间炎症和纤维化,导管上皮扁平且不规则。后来,导管增生,间质炎症消退,纤维化增加。X线片显示导管和小导管非常不规则,有狭窄和扩张。从26周开始,仅接受导管内注射乙醇的猫与接受联合操作的猫之间未观察到实质性差异。
猫因导管上皮损伤而发生的组织病理学和放射学改变类似于人类慢性胰腺炎的特征,与猫主胰管完全梗阻所引起的改变不同。