Asunto(s)
Humanos , Animales , Lidocaína/uso terapéutico , Pancreatitis Aguda Necrotizante/fisiopatología , Pancreatitis/fisiopatología , Procaína/uso terapéutico , Algoritmos , Ampolla Hepatopancreática/efectos de los fármacos , Anestesia Local , Bloqueo Nervioso Autónomo/métodos , Perros , Páncreas/efectos de los fármacos , Pancreatitis Aguda Necrotizante/tratamiento farmacológico , Pancreatitis Aguda Necrotizante/terapia , Pancreatitis/tratamiento farmacológico , Pancreatitis/terapia , Ratas , Sistema Nervioso Autónomo/fisiopatologíaRESUMEN
To determine whether guinea pigs chronically exposed to morphine would develop tolerance to the morphine-induced contraction of the sphincterof Oddi (SO), adult male guinea pigs were implanted with morphine pellets (100 mg morphine). The effect of increasing IV doses of morphine on the SO was assessed by determining the duration of which saline perfusate stopped flowing into the duodenum of morphine-treated guinea pigs (MTGP) vs monimplanted animals (non-MTGP). Isolated bovine and guinea pigs SO were also challenged with morphine. Int the in vivo experiments the spasmogenic response of the SO from MTGP to morphine was greater than of SO from non-MTGP. However, morphine had no effect on isolated SO. These results indicate that chronic morphine exposure does not results in tolerance of the SO to the spasmogenic effects of morphine. On the contrary, chronic morphine even sensitized the SO to morphine, in addition, the in vitro data indicated that morphine does not act directly on the smooth muscle of SO to cause spasmogenic effect