Beneficial Effects of Vasodilators in Preventing Severe Acute Pancreatitis Shock
| Autor: | José M. López-Novoa, Ernesto Hernández-barbáchano, María Angeles Pérez López, Rafael Coveñas, José Julián Calvo, José Ignacio San Román |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Mean arterial pressure Calcitonin Gene-Related Peptide Vasodilator Agents Endocrinology Diabetes and Metabolism Vasoactive intestinal peptide Blood Pressure Vasodilation Nitric Oxide Endocrinology Internal medicine Internal Medicine medicine Animals Rats Wistar Pancreatic duct Hepatology business.industry Penicillamine Shock medicine.disease Rats NG-Nitroarginine Methyl Ester medicine.anatomical_structure Blood pressure Pancreatitis Shock (circulatory) Acute Disease Amylases Acute pancreatitis medicine.symptom business Vasoactive Intestinal Peptide |
| Zdroj: | Pancreas. 32:335-342 |
| ISSN: | 0885-3177 |
| DOI: | 10.1097/01.mpa.0000220856.47754.c4 |
| Popis: | OBJECTIVES To investigate the effect of treatment with several vasodilatory substance on the changes in mean arterial pressure (MAP) of severe acute pancreatitis. METHODS Pancreatitis was induced in rats by 5% sodium taurocholate retrograde infusion through the pancreatic duct, which produces a significant decrease in arterial blood pressure. RESULTS Three hours after the induction of pancreatitis, a fall of approximately 25 mm Hg in MAP was observed, with no changes of MAP in untreated controls. The administration of the nitric oxide synthesis inhibitor, N-nitro-L-arginine methyl ester (25 mg/kg), previously to the induction of pancreatitis, produced a marked fall in MAP leading to the death of all the animals. When several vasodilatory substances, S-nitroso-N-acetylpenicillamine (200 microg x kg x h), calcitonin gene-related peptide (10 microg/kg), and vasoactive intestinal polypeptide (8 microg x kg x h) were administered previously to the induction of pancreatitis, the MAP fall induced by pancreatitis was not observed. The improvement of physiological conditions observed in vasodilator-treated animals is in agreement with histological data, which show only minor structural changes in the pancreas from these animals, in contrast with the severe alterations observed in untreated pancreatitic rats. CONCLUSION : Vasodilation confers protection against the systemic circulatory derangement derived from the development of severe acute pancreatitis. |
| Databáze: | OpenAIRE |
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