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The long-term follow up study of acute pancreatitis by means of pancreatic scintigraphy, secretin test and oral glucose tolerance test

Abstract

Morphologic and functional alternations of the pancreas following acute pancreatitis were studied in 29 patients. At the time of attack a diagnosis of acute pancreatitis had been confirmed by laparotomy in 27 cases, and by clinical picture and by serum amylase levels in 2 cases. The average duration of follow up was 56.3 months. Normal images were obtained in 17 of 29 cases. According to secretin tests, 4 of these had slight to moderately decreased exocrine function; the test were within normal limits. 12 cases with normal image had abnormal oral glucose tolerance curves similar to those fund in mild to moderate diabetes. 10 of the 12 cases with abnormal scintigrams showed decreased isotope uptake in all or part of the pancreas, while 2 showed no uptake at all. These changes were mast apparent in the tail of the pancreas. Ten of the 12 cases with abnormal images had some degree of decreased exocrine function. All 12 had the abnormal GTT curve of diabetes, 4 who had severe diabetes with markedly decreased exocrine function and poor image of the pancreas. In 4 cases the histopathological findings obtained at the time of laparotomy, were shown to be very consistent with the  More>>
Authors:
Satoh, H [1] 
  1. Tohoku Univ., Sendai (Japan). School of Medicine
Publication Date:
Mar 01, 1975
Product Type:
Journal Article
Reference Number:
AIX-07-248696; EDB-76-076730
Resource Relation:
Journal Name: Nippon Shokakibyo Gakkai Zasshi; (Japan); Journal Volume: 72:3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; PANCREAS; SCINTISCANNING; ENDOCRINE DISEASES; PATIENTS; SELENIUM 76; TIME DEPENDENCE; BODY; COUNTING TECHNIQUES; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; ENDOCRINE GLANDS; EVEN-EVEN NUCLEI; GLANDS; INTERMEDIATE MASS NUCLEI; ISOTOPES; NUCLEI; ORGANS; RADIOISOTOPE SCANNING; SELENIUM ISOTOPES; STABLE ISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
7179204
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: NIPAA
Submitting Site:
INIS
Size:
Pages: 250-259
Announcement Date:
Jul 01, 1976

Citation Formats

Satoh, H. The long-term follow up study of acute pancreatitis by means of pancreatic scintigraphy, secretin test and oral glucose tolerance test. Japan: N. p., 1975. Web.
Satoh, H. The long-term follow up study of acute pancreatitis by means of pancreatic scintigraphy, secretin test and oral glucose tolerance test. Japan.
Satoh, H. 1975. "The long-term follow up study of acute pancreatitis by means of pancreatic scintigraphy, secretin test and oral glucose tolerance test." Japan.
@misc{etde_7179204,
title = {The long-term follow up study of acute pancreatitis by means of pancreatic scintigraphy, secretin test and oral glucose tolerance test}
author = {Satoh, H}
abstractNote = {Morphologic and functional alternations of the pancreas following acute pancreatitis were studied in 29 patients. At the time of attack a diagnosis of acute pancreatitis had been confirmed by laparotomy in 27 cases, and by clinical picture and by serum amylase levels in 2 cases. The average duration of follow up was 56.3 months. Normal images were obtained in 17 of 29 cases. According to secretin tests, 4 of these had slight to moderately decreased exocrine function; the test were within normal limits. 12 cases with normal image had abnormal oral glucose tolerance curves similar to those fund in mild to moderate diabetes. 10 of the 12 cases with abnormal scintigrams showed decreased isotope uptake in all or part of the pancreas, while 2 showed no uptake at all. These changes were mast apparent in the tail of the pancreas. Ten of the 12 cases with abnormal images had some degree of decreased exocrine function. All 12 had the abnormal GTT curve of diabetes, 4 who had severe diabetes with markedly decreased exocrine function and poor image of the pancreas. In 4 cases the histopathological findings obtained at the time of laparotomy, were shown to be very consistent with the scintigraphic features. It was demonstrated by both scintigraphs and function tests that the alcoholic factor plays a very important role in the prognosis of acute pancreatitis. Acute pancreatitis resulted in chronic pancreatitis in 4 cases, (14 %) of the remaining 8 cases with abnormal scintigram, it is postulated that the inflamatory process subsided allowing time for cicatrical fibrosis to occur. Follow-up to trace and study of these alternations of the pancreas necessary in future.}
journal = []
volume = {72:3}
journal type = {AC}
place = {Japan}
year = {1975}
month = {Mar}
}