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Exocrine Pancreatic Secretion (exocrine + pancreatic_secretion)
Selected AbstractsInhibition of endogenous pancreatic enzyme secretion by oral pancreatic enzyme treatmentEUROPEAN JOURNAL OF CLINICAL INVESTIGATION, Issue 1 2003J. Walkowiak Abstract Background ,The existence of a feedback mechanism for exocrine pancreatic secretion in humans is controversial. Exclusion of proteases from the duodenum stimulates exocrine pancreatic secretion. Conversely, addition of exogenous enzymes could reduce the enzyme secretion. Further investigation of the feedback mechanism should be performed under the most physiological conditions. In the present study we investigated exocrine pancreatic function by measuring fecal enzyme output in healthy volunteers consuming a normal diet, before and during a time course of exogenous pancreatic enzyme supplementation. Material and methods ,Twenty-five healthy subjects (HS) were given two different doses (30 and 60 FIP proteases kg,1 d,1) divided by the number of meals. In all subjects, fecal elastase-1 (E1) concentrations and chymotrypsin (ChT) activities were measured without and with enzyme supplements after 7 days of treatment. In eight subjects, E1 concentrations and ChT activities were measured daily for 10 consecutive days. The subjects were given a dose regimen of 100 FIP proteases kg,1 d,1 (divided by the number of meals) for the first 7 days. Results ,Oral pancreatic treatment dose-dependently inhibited endogenous pancreatic secretion measured with the use of E1 concentrations. In both regimen groups, the differences were statistically significant. The exogenous enzymes, which interfere with colorimetric method for ChT, dose-dependently increased ChT output. However, only the higher dose resulted in a statistically significant difference. In the subgroup of eight HS, time-dependent changes of fecal enzyme output occurred with a decrease of E1 concentrations and an increase of ChT activity from the second up to eighth or ninth day of the experiment. Conclusion ,Exogenous applied pancreatic enzymes, dose- and time-dependently inhibited endogenous pancreatic secretion. The obtained results strongly support the existence of a protease mediated feedback mechanism in humans. [source] The effect of feeding time (day versus night) and feeding frequency on pancreatic exocrine secretion in pigsJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 1 2000J. A. M. Botermans The effect of night feeding and feeding frequency on exocrine pancreatic secretion was studied in five chronically catherized growing pigs (16 to 31 kg). Feeding during the night (2200 to 2400 h) as compared to the day (1000 to 1200 h) tended to stimulate cholesterol ester lipase activity and tended to lower the colipase : lipase ratio in the pancreatic juice, but no effect on volume output, protein output and the activities of trypsin, chymotrypsin, amylase, lipase and colipase could be demonstrated. Feeding 12 small meals between 0800 and 2000 h as compared to one large meal (1000 to 1200 h) daily, altered the pattern of exocrine pancreatic secretion, tended to stimulate protein output by 44 %, chymotrypsin activity by 29 % and lipase activity by 46 %. These observations strengthened the theory that exocrine pancreatic secretion is partly regulated by feed intake per se and does not only depend on the amount of feed consumed. Feeding 12 small meals versus one large meal, compared at the same total daily feed intake, lowered the colipase : lipase ratio by 32 %. It can be concluded that feed intake pattern affected exocrine pancreatic secretion. [source] The peptide hormone xenin induces gallbladder contractions in conscious dogsNEUROGASTROENTEROLOGY & MOTILITY, Issue 3 2007Y. Kamiyama Abstract, Xenin is a 25-amino acid peptide isolated from human gastric mucosa. The biological activities of xenin include modulating intestinal motility and affecting exocrine pancreatic secretion and gastric acid secretion. The physiological effect of xenin on the gastrointestinal tract, however, is incomplete. The objective of this study is to investigate the effects of xenin on the gastrointestinal tract motility of conscious dogs. Gastrointestinal tract and gallbladder contractions were monitored by chronically implanted force transducers. Synthetic xenin was injected intravenously during the interdigestive state with or without pretreatment with cholinergic blockers. The effects of xenin following cholecystectomy and truncal vagotomy were also investigated. Xenin induced gallbladder and jejunal contractions, although a dose-dependent response was shown only with gallbladder contractions. These effects were inhibited by pretreatment with cholinergic blockers, but were not enhanced by truncal vagotomy. The jejunal contractions were completely inhibited by cholecystectomy. The only direct effect of xenin in terms of gastrointestinal motility was to induce gallbladder contractions in conscious dogs. The neural pathway mediating xenin's action was cholinergic, but not the vagal. This novel finding indicates a new role of xenin. [source] The effect of equicaloric medium-chain and long-chain triglycerides on pancreas enzyme secretionCLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, Issue 5 2002T. Symersky Summary It has been shown previously that medium chain triglycerides (MCT) do not affect gallbladder emptying and cholecystokinin (CCK) release. The effect of MCT on exocrine pancreas secretion in humans is unknown. We have compared the effect of enteral administration of MCT versus long chain triglycerides (LCT) on exocrine pancreatic secretion. Eight healthy subjects (three female, five male; mean age 22 ± 1·9 years) participated in two experiments, performed in random order. Duodenal contents, obtained by aspiration, were used to calculated the output of pancreatic enzymes and bilirubin. An equicaloric amount of either MCT or LCT (2 kcal min,1) oil was continuously administered in the proximal jejunum for 2 h. Gallbladder volume was measured by ultrasonography and blood samples were drawn for determination of CCK. The experiments consisted of 1 h basal secretion, 2 h of continuous oil administration and 1 h poststimulation. During the LCT feeding the pancreatic enzyme secretion, bilirubin output, gallbladder emptying and CCK release increased significantly (P<0·05) over basal levels. MCT had no effect on pancreatic enzyme secretion nor gallbladder emptying or CCK release. We conclude that enteral administration of MCT in the proximal jejunum does not stimulate exocrine pancreatic secretion nor gallbladder contraction or CCK release, in contrast to an equicaloric amount of LCT. [source] |