[Exocrine function of the pancreas at chronic pancreatitis: diagnosis an drug correction]

Eksp Klin Gastroenterol. 2009:(7):4-8.
[Article in Russian]

Abstract

Estimation of respiratory test with 13C- mixed triglytcherides and gastrointestinal hormones effeciancy for the diagnosis of extrasecretory pancreatic with chronic pancreatitis was the aim of this examination. Test 13C- mixed triglytcherides was examined vercus test with pancreatic elastase of feces (E-1). 45 patients with chronic pancreatitis and 20 patients in 2 control groups were examined. The resuets testify to the lowering of pancreatic exocrine function in the patients with complicated chronic pancreatitis. The levels of E-1 and CPRDF (360) were trustworthy low the patients with complicated chronic pancreatitis versus the patients with chronic pancreatitis without complications and in control groups (p < 0.05). Correlative analysis the levels of E-1 and CPRDF (360) had demonstrated high degrel of results similarity. Persons correlation index was r = 0.64 (p < 0.001). The secretines level after standart breakfast in the patients with chronic pancreatitis was lowering, but was increasing in the healthy persons. Secretine lowering may lead to the bicarbonates secretion lowering. These results testify to the necessity of fermental treatment in the patients with chronic pancreatitis accordingly the pancreatitis stage.

MeSH terms

  • Adult
  • Feces / enzymology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreas, Exocrine / metabolism*
  • Pancreatic Elastase / metabolism
  • Pancreatitis, Chronic* / diagnosis
  • Pancreatitis, Chronic* / drug therapy
  • Pancreatitis, Chronic* / metabolism
  • Secretin / blood

Substances

  • Secretin
  • Pancreatic Elastase