PROLONGED AUGMENTATION OF THE MAXIMAL SECRETORY RESPONSES OF CANINE GASTRIC POUCHES BY CHRONIC OBSTRUCTION: A PRELIMINARY REPORT AND A HYPOTHESIS.
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Biomedical subjects
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The gastric secretory response of dogs with fundal pouches to insulin hypoglycaemia is biphasic in character, the two secretory peaks being separated by some hours. The first response depends on the intact innervation of the pouch and is attributed to direct vagal action on the parietal cell. Experiments have been made to test the hypothesis that the second peak is due to activation of a pituitary adrenal mechanism.The second phasic response does not depend on the intact innervation of the pouch and does not coincide with the period of hypoglycaemia. No relationship has been established with the second phase and plasma cortisol levels nor is this peak abolished by bilateral adrenalectomy. The second acid secretory response, however, is only evident when acid secretion of the main stomach makes prolonged contact with the antral mucosa; it is abolished by antrectomy. The hypothesis is put forward that the pattern of response following insulin hypoglycaemia after the initial vagal response is attributable to an interaction of acid-inhibiting and acid-stimulating mechanisms of gastric acid secretion mediated through the gastric antrum.
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In acute experiments in dogs cortisone and hydrocortisone increase the concentration and output of bicarbonate in pancreatic secretion whereas prolonged administration of these hormones leads to a diminished bicarbonate response. In both acute and chronic experiments, however, cortisone and hydrocortisone produce an increased output of the enzymes amylase and trypsin.
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