Jejunal Factor Stimulating Insulin Release in the Isolated Perfused Canine Pancreas and Jejunum
Abstract
In the present study using an isolated perfused preparation of canine jejunum and pancreas, an insulin-releasing factor was found in the venous effluent of the jejunum. Insulin secretion by the pancreas rose twofold after 10% glucose was infused in the lumen of the jejunum and remained at a high level even after the stimulus was discontinued. No modification of the exocrine pancreatic secretion occurred during the insulin release, and therefore it seems unlikely that gastrin, secretin or cholecystokinin-pancreozymin were released by the jejunal mucosa. In control experiments the values of hyperglycaemia observed previously and intraluminal hyperosmolarity were tested: at these levels, they did not affect insulin secretion. The nature of this intestinal insulin-releasing factor remains unknown however, but may be identifiable when intestinal hormones in blood can be assayed reliably.
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Rapid delivery of undigested carbohydrates to the small intestine results in high glucose concentrations that induce a hyperinsulinemic response, resulting in subsequent hypoglycemia and related late dumping symptoms.
“Rapid delivery of undigested carbohydrates to the small intestine results in high glucose concentrations that induce a hyperinsulinemic response, resulting in subsequent hypoglycemia and related late dumping symptoms (28).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [28]
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Pathophysiology, diagnosis and management of postoperative dumping syndrome
Tack, J., Arts, J., Caenepeel, P., De Wulf, D., & Bisschops, R. (2009) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/nrgastro.2009.148 · Cited by 387 · see citing works
“Under 'normal' conditions, the presence of glucose in the jejunum is a strong stimulus for insulin secretion; the rapid delivery of carbohydrates to the small intestine in dumping syndrome, therefore, causes excessive insulin secretion that subsequently results in hypoglycemia”
Backgroundvan Beek, A. P., Emous, M., Laville, M., & Tack, J. (2017) · Obesity Reviews · doi:10.1111/obr.12467 · Cited by 288 · see citing works
“Rapid delivery of undigested carbohydrates to the small intestine results in high glucose concentrations that induce a hyperinsulinemic response, resulting in subsequent hypoglycemia and related late dumping symptoms (28).”
BackgroundImpact of Postprandial Hypoglycemia on Weight Loss After Bariatric Surgery
Rebelos, E., Moriconi, D., Scalese, M., Denoth, F., Molinaro, S., Siciliano, V., Anselmino, M., Taddei, S., Ferrannini, E., & Nannipieri, M. (2020) · Obesity Surgery · doi:10.1007/s11695-020-04465-9 · Cited by 35 · see citing works
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Bataille, D., Jarrousse, C., Vauclin, N., Gespach, C., & Rosselin, G. (1977) · Springer eBooks · doi:10.1007/978-1-4612-6366-1_19 · Cited by 16 · see citing works
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[Dumping syndrome: Diagnostics and therapeutic options].
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Kanazawa, K., Ito, T., Hijikata, M., & Kuwabara, K. (2024) · Cureus · doi:10.7759/cureus.75195 · Cited by 1 · see citing works
Treatment of Obesity with Bariatric Surgery
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- Authors
- Eloy, R., Garaud, J., Moody, A., Jaeck, D., & Grenier, J.
- Affiliations
- Inserm (FR)
- Venue
- Hormone and Metabolic Research
- Publisher
- Georg Thieme Verlag KG
- Published
- 1975
- Volume
- 7
- Issue
- 06
- Pages
- 461-467
- ISSN
- 0018-5043 (ISSN-L)
- 1439-4286
- OpenAlex
- W1984729904
- Cited by
- 14
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2016: 1 · 2015: 2
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormone and Metabolic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- intestinal hormones, jejunum, pancreas, insulin secretion, glucose stimulation, isolated perfused pancreas, pancreatic exocrine secretion, hyperosmolarity, hyperglycemia, canine
- MeSH terms
- Insulin Secretion, Animals, Blood Flow Velocity, Blood Glucose, Blood Pressure, Dogs, Gastrointestinal Hormones, Insulin, Jejunum, Oxygen Consumption, Pancreas, Perfusion
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