[Morphometric-statistical analysis of pancreatic arteries in chronic pancreatitis (author's transl]. 1975

G Kaiser, and G Hommel

This study deals with changes in pancreatic vessels in cases of chronic pancreatitis. In particular the hypothesis that the diameter of the arterial vessels is reduced is examined statistically. Histological preparations from two groups, stained by the Elastica van Gieson method, were used for the investigation: Group I consisted of 50 section cases with healthy pancreatic tissue, group II consisted of 50 operative cases of chronic pancreatitis. At a 320-fold magnification, media thickness, vessel diameter, and intima thickness of four arterial vessels in each case were determined by a measuring scale in the ocular of a light microscope. The test results were transferred to perforated cards and analyzed statistically by computer. In the region of the endothel, the arterial vessels show cell nuclei projecting into the lumen. Especially remarkable is the thickening of the subendothelial intima tissue in the form of intimafibrosis and intimaelastosis. Atrophy of the media is noted in later stages, and it finally dissolves. The lumen of the arterial vessels seems to be considerably constricted as compared to that of the venous vessels. In attempting to prove vessel constriction, it was assumed that a certain media thickness corresponds to a certain vessel radius. Thus, we determined the relations between media thickness and vessel radius in both groups. Using regression lines as a model, we found vessel constriction to be statistically significant. However, although regression lines for the correlation between assumed vessel radius (sum of vessel radius and intima thickness) and media thickness are quite close, they are still significantly different. This remaining difference could have been caused by alteration in the media or also by additional influencial characteristics that differ in the two test groups. Therefore, the effect on the relationship between vessel radius and media thickness was examined with regard to the following variables: distribution of age, sex, and phases of parenchym reduction. Results show that the differences between the two groups were hardly influenced by age. The different distribution of sex seems to weaken the result more than to intensify it. Finally, the phase of parenchym reduction corresponds to the extent of vessel alteration. These vessel alterations probably represent an adaption of the reduced parenchym to the lowered demand for blood. On the other hand, it is rather unlikely that such alteration is an important pathogenetic factor of chronic pancreatitis or a consequence of exterior pressure caused by perifocal inflammation and incisive cicatricial tissue.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010179 Pancreas A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
D010195 Pancreatitis INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis. Acute Edematous Pancreatitis,Acute Pancreatitis,Pancreatic Parenchyma with Edema,Pancreatic Parenchymal Edema,Pancreatitis, Acute,Pancreatitis, Acute Edematous,Peripancreatic Fat Necrosis,Acute Edematous Pancreatitides,Acute Pancreatitides,Edema, Pancreatic Parenchymal,Edematous Pancreatitides, Acute,Edematous Pancreatitis, Acute,Fat Necrosis, Peripancreatic,Necrosis, Peripancreatic Fat,Pancreatic Parenchymal Edemas,Pancreatitides, Acute,Pancreatitides, Acute Edematous,Parenchymal Edema, Pancreatic,Peripancreatic Fat Necroses
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D004727 Endothelium A layer of epithelium that lines the heart, blood vessels (ENDOTHELIUM, VASCULAR), lymph vessels (ENDOTHELIUM, LYMPHATIC), and the serous cavities of the body. Endotheliums
D005260 Female Females

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