RESUMO
Insuficiência exócrina do pâncreas tem sido revisitada em vários compêndios médicos internacionais e suas novas etiologias avaliadas e reconfirmadas. Neste artigo abordamos as causas mais comuns e tradicionais, pancreatite crônica e fibrose cística, bem como as recentemente mais enfatizadas como doença celíaca e diabetes mellitus. Comentamos a clínica e o diagnóstico precoce e o tratamento com reposição enzimática
Pancreatic exocrine insufficiency has been broadly discussed in international medical literature. New aetiologies have been studied and reaffirmed. In this paper we describe common and traditional causes such as chronic pancreatitis and cystic fibrosis as well as the most recently emphasised celiac disease and diabetes. We also review clinical features, early diagnosis and pancreatic enzyme replacement therapy
Assuntos
Humanos , Masculino , Feminino , Fibrose Cística/complicações , Insuficiência Pancreática Exócrina/etiologia , Pancreatite Crônica/complicações , Doença Celíaca , Diabetes Mellitus , Ductos Pancreáticos/fisiologia , Diagnóstico Precoce , Secretina , Terapia de Reposição de Enzimas , Testes de Função Pancreática/métodosRESUMO
The present investigation on pancreatic juice (PJ) and duodenal fluid (DF) was carried out in 10 crossbred (Jersey x Kankrej) male cow calves from birth to early ruminant state (15 week). The respective samples were measured in situ by cannulating the pancreatic duct and duodenal lumen, 30 minutes before feeding (BF) and 30 minutes after feeding (AF) both during morning (MH) and evening (EH). The results revealed significant increase in PJ and DF flow rate with age. Diurnal effect was nonsignificant except a significant increase recorded during EH on 4 d for PJ and 3 d for DF.