T. Sakamoto et al., NEUROTENSIN SECRETION AFTER PANCREATICODUODENECTOMY IN PATIENTS WITH PANCREATIC HEAD CANCER, Biomedical research, 15, 1994, pp. 411-414
To the purpose of elucidating the mechanism of Neurotensin (NT) secret
ion after pancreatoduodenectomy (PD), we investigated NT secretion ind
uced by fat ingestion in 8 patients with pancreatic head cancer before
and after PD, and 7 patients with gastric cancer before and after dis
tal gastrectomy. Both basal and postcibal (0-180 minutes) plasma level
s of NT after PD were significantly higher than before PD. Plasma leve
ls of NT after DG were significantly higher than before DG from 10 to
60 minutes after fat ingestion. There were no differences in plasma le
vels of NT between patients after PD and after DG. The postoperative h
ypersecretion of NT during the first 90 minutes observed in both patie
nts after PD and after DG. However, the hypersecretion of NT during th
e second 90 minutes observed only in PD patients. This results indicat
e that resection of the distal stomach play one of causative roles in
an augmentation of NT secretion by fat ingestion after PD.