J. Hayakawa et al., ACUTE EFFECTS OF DISTAL PANCREATECTOMY ON PORTAL AND PERIPHERAL-BLOODINSULIN CONCENTRATIONS IN PATIENTS UNDERGOING TOTAL GASTRECTOMY, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 28(4), 1998, pp. 363-366
The influence of distal pancreatectomy on portal and peripheral blood
immunoreactive insulin (IRI) and immunoreactive glucagon (IRG) concent
rations was evaluated in patients undergoing total gastrectomy. There
were 22 patients studied, 12 of whom did not undergo distal pancreatec
tomy (group 1), and 10 who did (group 2), In group 2, the increase in
portal blood IRI concentrations after a glucose infusion of 25 g over
30 min was suppressed, and reelevation of the portal blood IRG concent
ration after the glucose-induced depression tvas inhibited compared to
group 1, In contrast, the peripheral blood IRI concentration did not
reflect these changes in the portal blood IRI concentration, The rise
in the arterial ketone body ratio (AKBR) and the fall in the total ket
one body concentration after glucose infusion were also attenuated aft
er distal pancreatectomy in group 2. These findings suggest that dista
l pancreatectomy has an immediate suppressive effect on the pancreatic
secretion of insulin and glucagon, and might disturb metabolism in th
e liver.