Skip to main content

Histological variations of the duodenal mucosa in chronic human pancreatitis

Abstract

From 16 volunteers with chronic pancreatitis and 36 healthy subjects duodenal biopsies were taken 15–20 cm beyond the papilla of Vater. Several morphometric parameters were calculated. The main results show: a significant decrease of villous area and height but not of the number of intestinal villi; a significant increase of Paneth cells; and a slight decrease in the number of glandular mitoses. This study suggests in man, a possible relationship between exocrine pancreatic secretion and the intestinal mucosa and a trophic action of pancreatic juice on the proliferation and the differentiation of the intestinal mucosa.

This is a preview of subscription content, access via your institution.

References

  1. Altmann GG: Influence of bile and pancreatic secretion on the size of the intestinal villi on the rat. Am J Anat 132:167–178, 1971

    Google Scholar 

  2. Balas D, Senegas-Balas F, Bertrand C, Frexinos J, Ribet A: Effects of pancreatic duct ligation on the hamster intestinal mucosa. Histological findings. Digestion 20:157–167, 1980

    Google Scholar 

  3. Caspary WF, Winckler K, Landkisch PG, Creutzfeldt W: Influence of exocrine and endocrine pancreatic functions on intestinal brush border enzymatic activities. Gut 16:89–92, 1975

    Google Scholar 

  4. Regan PT, Dimagno EP: Exocrine pancreatic insufficiency in celiac sprue: A cause of treatment failure. Gastroenterology 78:484–487, 1980

    Google Scholar 

  5. Weser E, Heller R, Tawil T: Stimulation of mucosal growth in the rat ileum by bile and pancreatic secretions after jejunal resection. Gastroenterology 73:524–529, 1977

    Google Scholar 

  6. Alpers DH, Tedesco FJ: The possible role of pancreatic proteases in the turnover of intestinal brush border proteins. Biochim Biophys Acta 401:28–40, 1975

    Google Scholar 

  7. Arvanitakis C, Olsen WA: Intestinal mucosal disaccharidases in chronic pancreatitis. Am J Dig Dis 19:417–421, 1974

    Google Scholar 

  8. Batt RM, Bush BM, Peters TJ: Biochemical changes in the jejunal mucosa of dogs with naturally occurring exocrine pancreatic insufficiency. Gut 20:709–715, 1979

    Google Scholar 

  9. Bohmer R, Raffler H: Ligation or external fistulation of the common bile duct in the rat. 2. Intestinal disaccharidases activities. Digestion 19:23–41, 1979

    Google Scholar 

  10. Cerda JJ, Preiser H, Crane RK: Brush border enzymes and enzyme malabsorption. Elevated disaccharidases in chronic pancreatic insufficiency with diabete mellitus. Gastroenterology 62:841, 1972

    Google Scholar 

  11. Falchuk ZM, Sessom SC, Taussig LM: Jejunal disaccharidases activity in pancreatic insufficiency. Pediatr Res 7:336/108, 1973

    Google Scholar 

  12. Kwong WKL, Seetharam B, Albers DH: Effect of exocrine pancreatic insufficiency on small intestine in the mouse. Gastroenterology 74:1277–1282, 1978

    Google Scholar 

  13. Senegas F, Balas D, Frexinos J, Ribet A: Effects of pancreatic duct ligation on the secretory processes of the hamster intestinal mucosa. Scand J Gastroenterol 11(Suppl. 41):47, 1976

    Google Scholar 

  14. Senegas-Balas F, Balas D, Bouisson M, Ribet A: Effects of pancreatic duct ligation on the hamster intestinal mucosa. Variation of several hydrolases. Digestion 21:83–91, 1981

    Google Scholar 

  15. Balas D, Escourrou J, Senegas-Balas F: Histological variations of the intestinal mucosa in human chronic pancratitis. Gastroenterology 78:1135, 1980

    Google Scholar 

  16. Ribet A, Tournut R, Duffaut M, Vaysse N: The use of the caeruleine with submaximal doses of secretin as a test of pancreatic function in man. Gut 17:431–439, 1976

    Google Scholar 

  17. Ribet A, Balas D: Functional diagnosis of pancreatic disease.In Progress in Gastroenterology, Vol III. GB Jerzy Glass (ed). New York, Grune and Stratton, 1978, pp 895–911

    Google Scholar 

  18. Imondi AR, Stradley RP, Wolgmuth R: Synthetic peptides in the diagnosis of exocrine pancreatic insufficiency in animals. Gut 13:726–732, 1972

    Google Scholar 

  19. Fischer RB, Parson DS: The gradient of mucosal surface area in the small intestine of the rat. J Anat 84:272–282, 1950

    Google Scholar 

  20. Clarke RM: Progress in measuring epithelial turnover in the villus of the small intestine. Digestion 8:161–175, 1973

    Google Scholar 

  21. Ribet A, Frexinos J, Escourrou J, Vaysse N, Arany Y, Varignon M: Etude indirecte de la sécrétion exocrine du pancréas par administration orale d'un peptide synthétique (PABA test). Gastroenterol Clin Biol 3:227–234, 1979

    Google Scholar 

Download references

Author information

Affiliations

Authors

Additional information

These investigations were supported by ATP INSERM No. 78-92.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Senegas-Balas, F., Bastie, M.J., Balas, D. et al. Histological variations of the duodenal mucosa in chronic human pancreatitis. Digest Dis Sci 27, 917–922 (1982). https://doi.org/10.1007/BF01316576

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01316576

Keywords

  • Public Health
  • Pancreatitis
  • Healthy Subject
  • Chronic Pancreatitis
  • Intestinal Mucosa