Effect of bromhexine hydrochloride therapy for alcoholic chronic pancreatitis
Autor: | Takuya Tsuruzono, Hiroshi Fukui, Yoshinobu Matsumura, Jyunichi Yamao, Tatsuhiro Tsujimoto, Kazushige Hoppo |
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Rok vydání: | 2005 |
Předmět: |
Male
medicine.medical_specialty Pancreatic disease Pancreatitis Alcoholic media_common.quotation_subject Medicine (miscellaneous) Lumen (anatomy) Toxicology Gastroenterology Calculi Feces Internal medicine medicine Diabetes Mellitus Endocrine system Chymotrypsin Humans Pancreas media_common Expectorants Pancreatic duct business.industry Bromhexine gamma-Glutamyltransferase Abstinence Middle Aged medicine.disease Radiography Psychiatry and Mental health Endocrinology medicine.anatomical_structure Pancreatic juice Pancreatitis Female business medicine.drug |
Zdroj: | Alcoholism, clinical and experimental research. 29 |
ISSN: | 0145-6008 |
Popis: | Background: Abstinence is a prerequisite for the treatment of alcoholic chronic pancreatitis, but there are patients who have repeated attacks because of their inability to abstain and the consequent congestive effects of the continued alcohol intake on pancreatic juice. Bromhexine hydrochloride, a bronchial mucolytic, has an affinity for acinar cells and causes them to secrete pancreatic juice of low viscosity. Methods: Twelve patients with alcoholic chronic pancreatitis, who were unable to abstain from drinking, were administered bromhexine hydrochloride for 6 months to assess its therapeutic efficacy. Results: Of 12 patients administered bromhexine, 8 (67%) reported symptomatic improvement, and all patients showed improvement in the levels of pancreatic enzymes. Pancreatic exocrine function also tended to improve, but no improvement of pancreatic endocrine function was detected. Although none of the pancreatic stones present in some patients disappeared, a protein plug present in one patient disappeared, accompanied by improvement in the irregular outline of the lumen of the main pancreatic duct. Conclusion: Bromhexine hydrochloride may be a new for the morbidity of chronic pancreatitis, in which there is increased viscosity of the pancreatic juice and formation of a protein plug. |
Databáze: | OpenAIRE |
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