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Titolo:
Palliation of pain in chronic pancreatitis - Use of enzymes
Autore:
Mossner, J;
Indirizzi:
Univ Leipzig, Dept Internal Med, D-04103 Leipzig, Germany Univ Leipzig Leipzig Germany D-04103 ernal Med, D-04103 Leipzig, Germany
Titolo Testata:
SURGICAL CLINICS OF NORTH AMERICA
fascicolo: 4, volume: 79, anno: 1999,
pagine: 861 -
SICI:
0039-6109(199908)79:4<861:POPICP>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLASMA CHOLECYSTOKININ LEVELS; NEGATIVE-FEEDBACK-REGULATION; TISSUE-FLUID PRESSURE; ABDOMINAL-PAIN; EXOCRINE SECRETION; GASTRIC FUNCTION; CCK LEVELS; TRYPSIN; RELEASE; INSUFFICIENCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
64
Recensione:
Indirizzi per estratti:
Indirizzo: Mossner, J Univ Leipzig, Dept Internal Med, Philipp Rosenthal Str 27, D-04103 Leipzig, Germany Univ Leipzig Philipp Rosenthal Str 27 Leipzig GermanyD-04103
Citazione:
J. Mossner, "Palliation of pain in chronic pancreatitis - Use of enzymes", SURG CL NA, 79(4), 1999, pp. 861

Abstract

According to the concept of negative feedback regulation of pancreatic enzyme secretion by proteases, treatment with pancreatic extracts has been proposed to lower pain in chronic pancreatitis by decreasing pancreatic duct pressure. The author, however, has demonstrated in healthy volunteers that intraduodenal application of porcine pancreatic extracts does not inhibit but rather stimulates pancreatic enzyme secretion. This is probably because of the high-protein content of porcine pancreatic extracts that may overwhelm a potential inhibitory effect of proteases. In a prospective placebo-controlled, double-blind multicenter study to investigate the effect of acid-protected porcine pancreatic extracts on pain in 43 patients with chronic pancreatitis, pain improved in most patients regardless of whether they started with placebo or verum. There was no significant difference between both treatment arms. In a meta-analysis, which included the author's study, six randomized, double-blind, placebo-controlled studies were evaluated. Statistical analysis demonstrated no benefit of the application of porcine pancreatic extracts to relieve pain in chronic pancreatitis. The author concluded that pancreatic extracts neither inhibit pancreatic enzyme secretion nor are they efficient in lowering pain in chronic pancreatitis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 00:12:48