The effects of the Pringle maneuver on the pancreas: can octreotide be protective?

نویسندگان

  • Omer Vedat Unalp
  • Unal Aydin
  • Pinar Yazici
  • Deniz Nart
  • Cigdem Yenisey
  • Tulay Kavak
  • Murat Zeytunlu
  • Ahmet Coker
چکیده

OBJECTIVE The aim of this study was to evaluate the negative effects of the Pringle maneuver on pancreatic tissue with respect to the time of performing the maneuver. Moreover, the efficacy of octreotide therapy on pancreatic changes at the time of the Pringle maneuver was assessed. ANIMALS Fifty male Wistar Albino rats were randomized into 5 groups. DESIGN The groups were formed as follows: Group A: sham operation, Group B: Pringle maneuver for 30 min plus octreotide (PM30-OCT), Group C: Pringle maneuver for 60 min plus octreotide (PM60-OCT) and Group D: Pringle maneuver for 30 min plus 0.9 % saline solution (PM30-SS), Pringle maneuver for 60 min plus 0.9 % saline solution (PM60-SS, Group E). MAIN OUTCOME MEASURES Blood samples for the evaluation of both amylase and lipase levels were taken via the portal vein. Levels of glutathione, glutathione reductase, catalase, myeloperoxidase, nitric oxide, xanthine oxidase, malondialdehyde, tumour necrosis factor alpha (TNF-alpha), and interleukin-1 beta (IL-1 beta) were assessed in the excised pancreatic tissue. RESULTS In the octreotide-treated groups, the catalase level was significantly higher in Group B (PM30-OCT) as compared to Group C (PM60-OCT). Amylase, lipase, NO and IL-1 beta levels were higher in Group C (PM60-OCT). In the saline solution-treated groups, the catalase level was significantly higher in Group E (PM60-SS) than in Group D (PM30-SS) while nitric oxide and glutathione levels were found to be significantly lower in Group E (PM60-SS) than in Group D (PM30-SS). Comparison of those groups using the Pringle maneuver for 30 minutes, the octreotide-treated group (Group B, PM30-OCT) was found to have a higher degree of edematous change than the saline-treated group (Group D, PM30-SS). Among the treatment groups, TNF-alpha expression decreased with increasing occlusion time. CONCLUSION In this study, pancreatic damage and the duration of the Pringle maneuver are directly proportional to each other. Moreover, the administration of octreotide prior to the Pringle maneuver contributed to the pancreatic damage.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Protective Effect of Capparis spinosa Hydroalcoholic Extract on the Integrity of Rat Pancreatic Islets

Background and Objective: Capparis spinosa L. belongs to the Capparaceae family for which biological roles such as antioxidant, anti-inflammatory, and antidiabetic effects have been reported. Some active chemical groups including flavonoids, phenols, alkaloids, tannins, and minerals have been detected in these plants [Sci Rew1] . This study aimed to extract the C. spinosa alcoholic extract from...

متن کامل

Protective effects of rosuvastatin against hyperglycemia-induced oxidative damage in the pancreas of streptozotocin-induced diabetic rats

Introduction: According to the powerful antioxidant effects of rosuvastatin, the present study aimed to examine the protective effects of rosuvastatin against oxidative damage of diabetic pancreas by potentiation of the antioxidant capacity in streptozotocin-induced diabetic rats. Methods: Experiment was performed in four groups of male Wistar rats (n=6 in each group): normal, diabetic and ...

متن کامل

Octreotide for the Management of Chylothorax in newborns, case report

Chylothorax is the most common cause of pleural effusion in neonates. It is usually idiopathic. Neonatal chylothorax successfully respond to octreotide treatment and can reduce the duration of hospitalization. A number of therapeutic interventions have been used to reduce chyle production and promote resolution of a chylothorax. Initial management typically includes restriction or temporary ces...

متن کامل

Biochemical and Histological Study of Protective Effect of Sodium Tungstate on Oxidative Stress Induced by Streptozotocin in Pancreas of Diabetic Rats

Purpose: The aim of this study was evaluation of effects of sodium tungstate on oxidative stress in pancreas of streptozotocin induced diabetic rats. Materials and Methods: Sixty mature Wistar male rats (Age: 2-3 month) were selected and divided into six groups randomly (n=10). Control (C), STZ-induced diabetic (D), STZ-induced diabetic rats were treated by sodium tungstate (1 mg/ml) in drinkin...

متن کامل

The effects of the rotatory maneuver on ENG results of patients with directional preponderance and a history of peripheral vestibular vertigo

This study was performed following favorable results from a previous research, which studied the response of acute vestibular patients to the rotatory maneuver, to investigate the effects of the rotatory maneuver on chronic vestibular patients. In an attempt to normalize the patient’s directional preponderance (DP), and hence their vestibular symptoms, the study was designed to reduce the imbal...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • JOP : Journal of the pancreas

دوره 10 3  شماره 

صفحات  -

تاریخ انتشار 2009