Effects of somatostatin (SMS) on pancreatic microcirculation

被引:17
作者
Plusczyk, T [1 ]
Rathgeb, D [1 ]
Westermann, S [1 ]
Feifel, G [1 ]
机构
[1] UNIV SAARLAND,INST CLIN & EXPT SURG,D-66421 HOMBURG,GERMANY
关键词
pancreas microcirculation; blood flow; somatostatin; epifluorescent microscopy;
D O I
10.1023/A:1018862616845
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The effect of bolus infusion of increasing somatostatin (SMS) concentrations (1, 10, 100, 200 mu g/100 g body wt) on pancreatic microcirculation and pancreatic tissue PO2 were investigated by using in vivo epifluorescence microscopy and a polarographic PO2 measurement technique. Additionally, the microperfusion of the pancreas, liver, spleen, stomach, and duodenum was measured by a laser Doppler device. Bolus infusion of SMS caused a significant, transient, and dose-dependent decrease in pancreatic capillary RBC velocities (to 50% of baseline) and acinar capillary overall perfusion (to 20% of baseline), which was not caused by a macrocirculatory depression. This pronounced decrease in microperfusion was not paralleled by a decline in tissue PO2. Laser Doppler measurements revealed that pancreatic and gastric microperfusion were reduced only at maximal SMS concentrations, considering that microperfusion of the liver, spleen, and duodenum was not altered. Therefore, we found further evidence that circulatory adjustment might occur during SMS inhibited secretory activity of the exocrine pancreas.
引用
收藏
页码:2254 / 2263
页数:10
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