Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1979 Dec;190(6):728–731. doi: 10.1097/00000658-197912000-00009

Experimental acute pancreatitis: the changes in pancreatic oxygen consumption and the effect of Dextran 40.

L A Donaldson, W G Schenk Jr
PMCID: PMC1345630  PMID: 518173

Abstract

A canine model was devised to measure the oxygen consumption of the pancreas in experimentally induced pancreatitis. Over the 120 minute investigation period the oxygen consumption fell by 63% in the presence of a diminishing pancreatic blood flow and constant arteriovenous percentage saturation across the pancreas. Dextran 40 has been previously shown to maintain the pancreatic circulation. Accordingly a second group of dogs was treated with Dextran 40 (1.5 ml/kg) 60 minutes after induction of the pancreatitis. This produced a significant increase in the pancreatic oxygen consumption and widening of the arteriovenous difference. Dextran 40 appears to reverse the hypoxia of the pancreas noted in acute experimental pancreatitis.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ANDERSON M. C., LEWIS M. B. LOW-MOLECULAR-WEIGHT DEXTRAN THERAPY IN EXPERIMENTAL PANCREATITIS. JAMA. 1965 May 3;192:398–400. doi: 10.1001/jama.1965.03080180056014. [DOI] [PubMed] [Google Scholar]
  2. Anderson M. C., Schoenfeld F. B., Iams W. B., Suwa M. Circulatory changes in acute pancreatitis. Surg Clin North Am. 1967 Feb;47(1):127–140. doi: 10.1016/s0039-6109(16)38138-5. [DOI] [PubMed] [Google Scholar]
  3. Andreadis P., Kiriakou K., Tountas C. Vasopressin in the treatment of acute experimental pancreatitis. Ann Surg. 1967 Dec;166(6):913–918. doi: 10.1097/00000658-196712000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. DAY S. B., GRIFFEN W. O., Jr, CASTANEDA A., NICOLOFF D. M., DOBERNECK C., STONE N. H. Potentiating influence of apnea, hypoxia, and hypercapnia on bile-induced hemorrhagic pancreatic necrosis. Surg Gynecol Obstet. 1960 Sep;111:304–308. [PubMed] [Google Scholar]
  5. Donaldson L. A., Williams R. W., Schenk W. G., Jr Experimental pancreatitis: Effect of plasma and dextran on pancreatic blood flow. Surgery. 1978 Sep;84(3):313–321. [PubMed] [Google Scholar]
  6. ELLIOTT D. W., ZOLLINGER R. M., MOORE R., ELLISON E. H. The use of human serum albumin in the management of acute pancreatitis; experimental and clinical observations. Gastroenterology. 1955 Apr;28(4):563-87; discussion, 588-92. [PubMed] [Google Scholar]
  7. Eichelter P., Schenk W. G., Jr Hemodynamics of pancreatic secretion. With observations on pancreatic oxygen consumption. Arch Surg. 1966 Jul;93(1):200–207. doi: 10.1001/archsurg.1966.01330010202026. [DOI] [PubMed] [Google Scholar]
  8. Frogge J. D., Hermreck A. S., Thal A. P. Metabolic and hemodynamic effects of secretin and pancreozymin on the pancreas. Surgery. 1970 Sep;68(3):498–502. [PubMed] [Google Scholar]
  9. GELIN L. E., INGELMAN B. Rheomacrodex--a new dextran solution for rheological treatment of impaired capillary flow. Acta Chir Scand. 1961 Nov;122:294–302. [PubMed] [Google Scholar]
  10. GILSDORF R. B., LONG D., MOBERG A., LEONARD A. S. CENTRAL-NERVOUS-SYSTEM INFLUENCE ON EXPERIMENTALLY INDUCED PANCREATITIS. JAMA. 1965 May 3;192:394–397. doi: 10.1001/jama.1965.03080180052013. [DOI] [PubMed] [Google Scholar]
  11. Goodhead B. Acute pancreatitis and pancreatic blood flow. Surg Gynecol Obstet. 1969 Aug;129(2):331–340. [PubMed] [Google Scholar]
  12. Goodhead B., Wright P. W. The effect of postganglionic sympathectomy on the development of hemorrhagic pancreatitis in the dog. Ann Surg. 1969 Dec;170(6):951–960. doi: 10.1097/00000658-196912000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hermreck A. S., Thal A. P. Mechanisms for the high circulatory requirements in sepsis and septic shock. Ann Surg. 1969 Oct;170(4):677–695. doi: 10.1097/00000658-196910000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Imrie C. W., Ferguson J. C., Murphy D., Blumgart L. H. Arterial hypoxia in acute pancreatitis. Br J Surg. 1977 Mar;64(3):185–188. doi: 10.1002/bjs.1800640310. [DOI] [PubMed] [Google Scholar]
  15. KENWELL H. N., WELS P. B. Acute hemorrhagic pancreatitis; report of 11 consecutive cases treated with human serum albumin. Surg Gynecol Obstet. 1953 Feb;96(2):169–170. [PubMed] [Google Scholar]
  16. Kreuzer W., Schenk W. G., Jr Hemodynamic effects of vasodilatation in "critical" arterial stenosis. Arch Surg. 1971 Aug;103(2):277–282. doi: 10.1001/archsurg.1971.01350080193030. [DOI] [PubMed] [Google Scholar]
  17. MCCUTCHEON A. D. EXPERIMENTAL PANCREATITIS: USE OF A NEW ANTIPROTEOLYTIC SUBSTANCE, TRASYLOL. Ann Surg. 1963 Aug;158:233–239. doi: 10.1097/00000658-196308000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Murphy D., Imrie C. W., Davidson J. F. Haematological abnormalities in acute pancreatitis. A prospective study. Postgrad Med J. 1977 Jun;53(620):310–314. doi: 10.1136/pgmj.53.620.310. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Papp M., Makara G. B., Hajtman B., Csáki L. A quantitative study of pancreatic blood flow in experimental pancreatitis. Gastroenterology. 1966 Oct;51(4):524–528. [PubMed] [Google Scholar]
  20. Papp M., Ungvari G., Németh P. E., Munkacsi I., Zubek L. The effect of bile-induced pancreatitis on the intrapancreatic vascular pattern in dogs. Scand J Gastroenterol. 1969;4(8):681–689. doi: 10.3109/00365526909180654. [DOI] [PubMed] [Google Scholar]
  21. Pissiotis C. A., Condon R. E., Nyhus L. M. Effect of vasopressin on pancreatic blood flow in acute hemorrhagic pancreatitis. Am J Surg. 1972 Feb;123(2):203–208. doi: 10.1016/0002-9610(72)90334-0. [DOI] [PubMed] [Google Scholar]
  22. Schiller W. R., Anderson M. C. Microcirculation of the normal and inflamed canine pancreas. Ann Surg. 1975 Apr;181(4):466–470. doi: 10.1097/00000658-197504000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Trapnell J. E., Rigby C. C., Talbot C. H., Duncan E. H. A controlled trial of Trasylol in the treatment of acute pancreatitis. Br J Surg. 1974 Mar;61(3):177–182. doi: 10.1002/bjs.1800610303. [DOI] [PubMed] [Google Scholar]
  24. Webster P. D., 3rd, Black O., Jr, Mainz D. L., Singh M. Pancreatic acinar cell metabolism and function. Gastroenterology. 1977 Dec;73(6):1434–1449. [PubMed] [Google Scholar]
  25. Wiznitzer T., Rozin R. The effect of low molecular weight dextran on endotoxin shock. Exp Med Surg. 1965;23(4):340–344. [PubMed] [Google Scholar]
  26. Wright C. J., Duff J. H., McLean A. P., MacLean L. D. Regional capillary blood flow and oxygen uptake in severe sepsis. Surg Gynecol Obstet. 1971 Apr;132(4):637–644. [PubMed] [Google Scholar]
  27. Wright P. W., Goodhead B. The value of dextrans in the treatment of experimental pancreatitis. Surgery. 1970 May;67(5):807–815. [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES