Endoscopic measurement of pancreatic main ductal pressure in the various stages of chronic pancreatitis and the effect of exogeneous secretin and glucagon on pancreatic ductal pressure.
スポンサーリンク
概要
- 論文の詳細を見る
To determine the significance of manometric pressure of the pancreatic duct, duodenoscopic measurements of the papillary sphincter zone and pancreatic main duct in control subjects (n=20) and patients with chronic pancreatitis (n=20), and the effects of exogenous glucagon or secretin were studied. There was not any significant difference between control subjects and patients with chronic pancreatitis without papillitis in the motility of the sphincter of Oddi. The pancreatic main ductal pressure in patients with chronic pancreatitis (54.5±29.9mmHg) was significantly higher than that in control subjects (16.2±8.7mmHg). In patients (n=6) with minimal-change chronic pancreatitis (MIP) without dilatation of pancreatic main duct, patients (n=10) with moderate-change chronic pancreatitis (MOP) and patients (n=4) with advanced-change chronic pancreatitis (ADP), the pancreatic main ductal pressure showed 51.8mmHg, 62.8mmHg and 37.8mmHg on average, respectively. The viscosity of pure pancreatic juice, which appeared to be one of constituents of resistance to secretion of pancreatic juice, in patients with chronic pancreatitis (5.8 centi-Poise: cP) in the basal secretory phase was significantly higher than that in control subjects (1.61 cP). But there was not any relationship between pancreatic main ductal pressure and viscosity of pure pancreatic juice. These data lead to the hypothesis that increased pancreatic ductal pressure in patients with chronic pancreatitis without papillitis appeared not to be due to papillary dysfunction, but to increased viscosity or other unknown factors; for example, basal secretory pressure, and then initially increased pancreatic ductal pressure may induced dilatation of the pancreatic main duct. Moreover, glucagon or secretin has a reducing effect on pancreatic ductal pressure in patients with chronic pancreatitis.
- 財団法人 日本消化器病学会の論文
著者
関連論文
- Pheophorhide-a及びQ-switch Nd-YAG Laserを用いたin vitroでのphotodynamic therapyの胃癌培養細胞に対する殺細胞効果
- 慢性膵炎およびSjögren症候群における精製膵抗原(PA3)に対する特異的細胞性免疫の検討
- 肝硬変症における超音波断層パルスドプラ法による門脈循環の検索
- 良性肝のう胞における糖鎖抗原CA19-9の測定
- 赤血球ALA-dehydratase 活性の低下を認めた急性間欠性ポルフィリン症の一家系
- 慢性膵炎および Sjögren 症候群における膵抗原 (PA3) に対する特異的免疫応答の検討
- 興味ある肝内胆管造影像を認めた特発性門脈圧亢進症の1例 : 肝静脈のしだれ柳様変形と対比して
- リニア電子スキャン・パルスドップラー複合血流計による門脈血流量測定
- Sjögren症候群,遠位型尿細管性アシドーシス並びに特発性門脈圧亢進症の合併を認めた肝内portal vein aneurysmの1例
- 急性胃アニサキス症における血中IgE型アニサキス抗体の測定
- Laurence-Moon-Bardet-Biedl 症候群を伴つた Hirschsprung 病の1例
- 原発性胆汁性肝硬変症における抗ミトコンドリア抗体亜分画の検出とその対応抗原の検索-Western blotting法を中心に-
- Immuno-blotting 法による血中IgGおよびIgE型アニサキス抗体の対応抗原の検索
- 日本猿を用いた, 十二指腸乳頭部機能及び膵腺房•膵管系の膵管内圧調節機構に関する実験的研究
- Reversal of portal blood flow in a case of primary hepatocellular carcinoma demonstrated by the ultrasonic pulse Doppler method during short clinical course.
- A new gastrointestinal mucinous antigen prepared by using a monoclonal antibody, and it's characterization.
- Small liver cancer を合併した小網リンパ管腫の1例
- Measurement of serum MP-A11 in patients with cancer of digestive organs.
- A new pancreatic ductal cell antigen prepared by a monoclonal antibody.
- Pressure of the papillary sphincter zone and pancreatic main duct in patients with alcoholic and idiopathic chronic pancreatitis.
- A new gastrointestinal tract-specific antigen prepared by using a monoclonal antibody, and its characterization.
- Circadian rythms of the pancreatic ductal pressure and E.M.G. of the papillary sphincter in Japanese monkey.
- A new gastrointestinal-specific antigen prepared by a monoclonal antibody.
- Increased production of Interleukin 1 by peripheral monocytes activated with biliary antigen immune complex in primary biliary cirrhosis.
- タイトル無し
- 副肝管に合併した若年者肝内結石症の1例
- Immunological mechanism in the experimental colitis in syngeneic mice induced by klebsiella oxytoca inoculation.
- Measurement of pancreatic main ductal pressure and myoelectrical study of papillary sphincter in monkeys.
- タイトル無し
- A case of portal venous gas complicated with gastric ulcer with acute gastric dilatation.
- Measurement of circulating biliary antigen-antibody immune complex in the patients of primary biliary cirrhosis using ELISA.
- タイトル無し
- Endoscopic measurement of pancreatic main ductal pressure in the various stages of chronic pancreatitis and the effect of exogeneous secretin and glucagon on pancreatic ductal pressure.
- タイトル無し
- Measurement of portal blood flow in the patients with obstructive jaundice using a pulsed Doppler system.
- タイトル無し
- Studies on the influence of long-term doses of lipid peroxide generators on rat pancreras.
- 超音波断層パルスドプラー法による劇症肝炎患者の門脈血行動態の観察