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The influence of cutting the pancreatic nerve plexus on exocrine function in the pancreas of rats
Authors:Yoshio Kinami M.D.  Hiroshi Sakuma
Affiliation:1. The Second Department of Surgery, Kanazawa Medical University, Uchinada-Machi, Kahoku-Gun, 920-02, Ishikawa, Japan
Abstract:This study was performed to clarify changes in protein synthesis and exocrine enzymes of the pancreas after cutting the pancreatic nerve plexus of Wistar rats. The rats were divided into two groups, consisting of a group that underwent cutting of the pancreatic nerve plexus (neurotomy group) and a group that underwent a sham operation (control group).3H-leucine uptake in the pancreatic protein fraction of the neurotomy group at 3, 5 and 7 days after the operation was significantly lower than that of the control group (P<0.05-0.01), and this low uptake returned to the normal range at 14 days. Amylase, lipase and trypsin values in pancreatic tissue of the neurotomy group decreased during the period of from 1 to 7 days, and there were significant differences in the values of the respective enzymes at 5 or 7 days between the neurotomy and the control group (P<0.05). Thereafter, all enzyme values increased to within the normal range. Upon examination of pancreatic blood flow using a microsphere, the neurotomy group showed a significant reduction at 7 days compared with the control group (P<0.05), and thereafter exhibited recovery of blood flow. These results indicate that after cutting the pancreatic nerve plexus, exocrine function in the pancreas is reduced immediately but recovers within a short period of time, and that these changes in exocrine function are affected by blood flow in the pancreas. Supported partially by the grants from the Japanese Ministry of Health & Welfare.
Keywords:blood flow of pancreas  exocrine enzymes  pancreatic exocrine function  pancreatic neurotomy  protein synthesis
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