Document Detail


The influence of ethanol on pancreatic blood flow in cats with chronic pancreatitis.
MedLine Citation:
PMID:  1641761     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The mechanism by which ethanol predisposes to acute pancreatitis, especially in established chronic pancreatitis, is not known. Here we studied the effects of acute ethanol ingestion on pancreatic blood flow in chronic pancreatitis, a setting characterized by diminished basal blood flow to the pancreas. METHODS: Obstructive pancreatitis was created by partial duct ligation for 3 weeks in nine cats. Controls (n = 8) were not operated on. Blood flow was measured in anesthetized animals with a hydrogen gas clearance technique and an intraductal electrode. Pancreatic interstitial pressure, systemic and portal blood pressures, and serum ethanol levels were recorded, and pancreatic vascular resistance was calculated. Measurements were made before and for 2 hours after 20 cc of 40% (wt/vol) ethanol was instilled into the stomach. RESULTS: Basal flow was reduced in the obstructed pancreas to 51% of normal. Both groups showed an acute decrease in blood flow when ethanol was given. A more steep (50% of baseline) and a more prolonged (120 minutes) fall was observed in the pancreatitis group than in controls (31% and 60 minutes, respectively). The decline in blood flow correlated with increases in interstitial pressure and vascular resistance. CONCLUSIONS: Acute ethanol ingestion sharply reduces pancreatic blood flow, especially in glands with chronic pancreatitis.
Authors:
A L Widdison; C Alvarez; M Schwarz; H A Reber
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Surgery     Volume:  112     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-08-28     Completed Date:  1992-08-28     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  202-8; discussion 208-10     Citation Subset:  AIM; IM    
Affiliation:
Surgical Service, Sepulveda VAMC, CA 91343.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cats
Chronic Disease
Ethanol / blood,  pharmacology*
Extracellular Space / physiology
Female
Male
Osmolar Concentration
Pancreas / blood supply*
Pancreatitis / blood,  physiopathology*
Pressure
Regional Blood Flow / drug effects
Vascular Resistance
Chemical
Reg. No./Substance:
64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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