SUPPRESSION OF CANINE ANTRAL GASTRIN-SECRETION BY URINE

被引:12
作者
LAU, JL
RICHTER, HM
FOWLER, JE
BHATTI, R
RAY, V
机构
[1] UNIV ILLINOIS,COLL MED,DIV GEN SURG,CHICAGO,IL 60680
[2] COOK CTY HOSP,DIV GEN SURG,CHICAGO,IL 60612
[3] COOK CTY HOSP,DIV SURG PATHOL,CHICAGO,IL 60612
关键词
D O I
10.1016/S0022-5347(17)39974-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Distention of the gastric antrum with an alkaline fluid normally results in the secretion of gastrin. Following gastrocytoplasty in humans, however, hypergastrinemia has not been observed. We explored the possibility that a component of urine may suppress antral gastrin activity in the dog. Partial cystectomy and antral transposition to the bladder (ATB) was performed in five animals and antral transposition to the colon (ATC) was performed in five other dogs to serve as a hypergastrinemic controls. At four and eight weeks after surgery the mean serum gastrin levels in the ATC dogs were significantly greater than the mean preoperative levels (p < 0.05). In contrast, at four and eight weeks after surgery the mean serum gastrin levels in the ATB animals were significantly less than the mean preoperative levels (p < 0.05). The antral G-cell density as determined by immunohistochemical study at eight weeks after surgery was greater than normal in the ATC dogs but less than normal in the ATB dogs; but the differences did not achieve statistical significance. In another series of experiments using four other dogs a 4% aqueous peptone solution and a 4% peptone solution in concentrated dog urine were instilled into exteriorized antral pouches. The mean serum gastrin levels at 60 and 90 minutes after instillation of the former were significantly increased (p < 0.05), but there was little or no change after instillation of the latter. Urine, or a component of urine, appears to suppress canine antral gastrin secretion and may explain the absence of hypergastrinemia following gastrocystoplasty in humans.
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页码:402 / 406
页数:5
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