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Effects of autonomic denervation on canine exocrine pancreatic secretion and blood flow
Authors:Ehud Klein   Alberto Salinas   Eli Shemesh  David A. Dreiling
Affiliation:(1) Departments of Surgery C, The Chaim Sheba Medical Center, 52621 Tel-Hashomer, Israel;(2) Department of Gastroenterology, The Chaim Sheba Medical Center, 52621 Tel-Hashomer, Israel;(3) Sackter School of Medicine, Tel-Aviv University, Tel-Aviv, Israel;(4) Department of Surgery, The Mount Sinai Medical Center, New York, NY, U.S.A.
Abstract:Summary The effect of autonomic denervation on the exocrine pancreatic secretion and blood flow was studied in a group of dogs. Pancreatic secretion was collected and analyzed for volume and bicarbonate by direct cannulation of the main papilla through a duodenotomy prior to and following truncal vagotomy and celiac plexus denervation. Pancreatic blood flow was determined by the radioisotope distribution method (141Ce). Truncal vagotomy causes a reduction in pancreatic secretion of volume and bicarbonate by 25–30%, while celiac denervation caused a reduction of 70% in the secretion. The mean baseline pancreatic blood flow was 0.5 ml/g pancreas/min. Truncal vagotomy did not cause any significant flow changes, while celiac denervation caused a significant increase in blood flow of 350% (to 1.75 ml/g/min). These results suggest that both the parasympathetic and the sympathetic system affect pancreatic secretion independently of their effect upon pancreatic blood flow.
Keywords:Autonomic denervation  exocrine pancreatic secretion  blood flow  (dog)
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