Skip to main content
Log in

Changes of pancreatic exocrine function after major resection of the pancreas in dogs

  • Original Article
  • Published:
Gastroenterologia Japonica Aims and scope Submit manuscript

Summary

Changes of an exocrine function after major resection of the canine pancreas were observed by pancreozymin-secretin test and the results were compared with an endocrine function examined by glucose tolerance test. The exocrine function of the remnant pancreas revealed characteristic changes according to the resection rate of the pancreas:

  1. 1)

    After removal of 50 to 70 per cent of the entire pancreas, diabetes did not develop and the exocrine function of the remnant pancreas was well maintained.

  2. 2)

    After 70 to 90 per cent pancreatectomy, diabetes developed six weeks or more later and the exocrine function of the remnant pancreas per body weight decreased slightly. The degree of disturbance of the exocrine function in the diabetic dogs was greater than that in the non-diabetic group, but the exocrine function per the remnant pancreas weight increased and it was greater than normal level even in the diabetic dogs. The hypersecretory state of the exocrine pancreas after surgery was verified.

  3. 3)

    After 90 per cent or greater resection of the pancreas, diabetes occurred immediately and disturbance of the exocrine function was remarkable. Hypersecretory state did not appear.

  4. 4)

    Both the endocrine and exocrine functions after major pancreatic resection were found to be related to the resection rate, but there were significant differences in the reserve capacity of the endocrine and exocrine pancreas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Child CG, Frey CF, Fry WJ: A reappraisal of removal of 95% of the distal portion of the pancreas. Suŕg Gynecol Obstet 129: 49, 1969

    PubMed  Google Scholar 

  2. Warren WD, Leite CA, Baumeister F, Poucher RL, Kaiser MH: Clinical and metabolic response to radical distal pancreatectomy for chronic pancreatitis. Am J Surg 113: 77, 1966

    Article  Google Scholar 

  3. Fish JC, Smith LB, Williams RD: Digestive function after radical pancreaticoduodenectomy. Am J Surg 117:40, 1969

    Article  PubMed  CAS  Google Scholar 

  4. Sato T, Saitoh Y, Noto N, Matsuno S: Follow-up studies of radical resection for pancreaticoduodenal cancer. Ann Surg 186: 581, 1977

    Article  PubMed  CAS  Google Scholar 

  5. Fallis LS, Szilaggi DE: Observations on some metabolic changes after total pancreatectomy. Ann Surg 128: 639, 1948

    PubMed  CAS  Google Scholar 

  6. ReMine WH, Priestley JT, Judd ES, King JN: Total pancreatectomy. Ann Surg 172: 595, 1970

    Article  PubMed  CAS  Google Scholar 

  7. Hicks RE, Brooks JR: Total pancreatectomy for ductal carcinoma. Surg Gynecol Obstet 133: 16, 1971

    PubMed  CAS  Google Scholar 

  8. Dragstedt LR: Some physiologic problems in surgery of the pancreas. Ann Surg 118: 576, 1943

    Article  PubMed  CAS  Google Scholar 

  9. Dreiling DA, Greenstein AJ, Bordalo O: The hypersecretory states of the pancreas. Am J Gastroent 59:505, 1973

    PubMed  CAS  Google Scholar 

  10. Parker F Jr: Toxic necrosis and regeneration of the acinar cells of the pancreas. J Med Res 40: 471, 1919

    CAS  PubMed  Google Scholar 

  11. O’Sullivan JB, Snyder PJ, Sporer, AC, Randrow RV, Carles D: Intravenous glucose tolerance test and its modification by pregnancy. J Clin Endocrinol 31: 33, 1970

    Article  CAS  Google Scholar 

  12. Olefsky JF, Farguhar JW, Reaven, GH: Do the oral and intravenous gluvcose tolerance tests provide similar diagnostic informaton in patients with chemical diabetes mellitus? Diabetes 22: 202, 1973

    PubMed  CAS  Google Scholar 

  13. Sandmeyer W: über die Folgen der partiellen Pankreasexstirpation beim Hund. Zeitschrift für Biol 31:12, 1895

    Google Scholar 

  14. Pflüger E: Untersuchungen über den Pankreasdiabetes. Pflüger’s Arch 118: 265, 1907

    Article  Google Scholar 

  15. Yasugi H, Mizumoto R, Sakurai H, Honjo I: Changes in carboydrate metabolism and endocrine function of remnant pancreas after major pancreatic resection. Am J Surg 132: 577, 1976

    Article  PubMed  CAS  Google Scholar 

  16. Hamano K: Digestive and absorptive function of the gastrointestinal tract after various operation of the pancreas, especially total pancreatectomy. Arch Jpn Chir 22:500, 1953

    Google Scholar 

  17. Curtis KJ, Gaines HD, Kim YS: Protein digestion and absorption in rats with pancreatic duct occlusion. Gastroent 74: 271, 1978

    Google Scholar 

  18. DiMagno EP, Go VLW, Summerskill WHJ: Relations between pancreatic enzyme outputs and malabsorption in severe pancreatic insufficency. New Eng J Med 288: 813, 1973

    Article  PubMed  CAS  Google Scholar 

  19. Dreiling DA, Greenstein A, Bordalo O: Newer concepts of pancreatic secretory patterns. Pancreatic secretory mass and pancreatic secretory capacity: Pancreatic hypersecretion. Mount Sinai J Med New York 40: 666, 1973

    CAS  Google Scholar 

  20. Tiscornia OM, Dreiling DA: Does the pancreatic gland regenerate? Gastroent 51:267, 1966

    CAS  Google Scholar 

  21. Condorelli A, Mancuso M, Ricceri R: Experimental study of the regenerative capacity of the pancreas after partial resection of the gland. Policlinico (Chir) 70: 163, 1963

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Higuchi, A., Yasugi, H., Yokota, T. et al. Changes of pancreatic exocrine function after major resection of the pancreas in dogs. Gastroenterol Jpn 14, 316–326 (1979). https://doi.org/10.1007/BF02774228

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02774228

Key Words

Navigation