Effect of alcohol on the release of cholecystokihin and pancreatic enzyme secretion

Gerald M. Fried, W. David Ogden, Xue Guang Zhu, George H. Greeley, James C. Thompson

    Research output: Contribution to journalArticle

    14 Scopus citations

    Abstract

    Ethanol is often implicated in the pathogenesis of acute pancreatitis, but the pathophysiologic processes of alcohol-induced acute pancreatitis remains poorly understood. We found that ingestin of alcohol by healthy volunteers did not stimulate release of cholecystokinin, which is the chief hormonal stimulant of pancreatic enzyme secretion, nor did it significantly alter fasting levels of pancreatic polypeptide, a hormonal inhibitor of pancreatic enzyme secretion. In conscious dogs prepared with chronic pancreatic fistulas, direct intraduodenal instillation of ethanol significantly reduced pancreatic protein output, and this reduction corresponded to a decline in plasma concentrations of cholecystokinin that was similar in the percentage of diminution and in duration. These data suggest that, in patients who do not have chronic pancreatitis, alcohol does not induce acute pancreatitis, either by stimulating cholecystokinin release or by stimulating enzyme secretion directly.

    Original languageEnglish (US)
    Pages (from-to)53-57
    Number of pages5
    JournalThe American Journal of Surgery
    Volume147
    Issue number1
    DOIs
    StatePublished - Jan 1984

    ASJC Scopus subject areas

    • Surgery

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