Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
Studies on Functional State of Pancreas Inbluenced by Surgical Treatment of Pulmonary Tuberculosis
Part 1. Clinical Study
YASUHIKO ARAKI
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1959 Volume 71 Issue 7-2 Pages 4143-4154

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Abstract
The author wanted to analyse the excretory and internal secretion of the pancreas before and after the surgical operations in 83 cases of pulmonary tuberculosis. Therefore he examined the blood sugar concentration, the glucose tolerance, Staub effect, the lipase and antitrypsin in the serum and the diastase in the blood.
Results obtained are as follows;
(1) Preoperatively: The blood diastase increases or decreases slightly in several cases. The serum lipase is not changed. The serum antitrypsin increases slightly in the severe cases. The blood sugar concentration in normal. The glucose tolerance and Staub effect are normal.
(2) Postoperatively: The blood diastase, the serum lipase and the serum antitrypsin are all elevated. The blood sugsr concentration rises, too. The glucose tolerance is affected. Staub effect becomes negative. These changes are all temporary and are restored to the preoperative level after some days.
(3) After all, before the surgical treatment of pulmonary tuberculosis, slight disturbances of the excretory secretion of the pancreas are shown in several cases, and the internal secretion of the pancreas is not affected, After the surgical treatment of pulmonary tuberculosis, the temporary disturbances of the excretory and the internal secretion of the pancreas are shown.
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