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Mode of Action of Acetazolamide on Pancreatic Exocrine Secretion
Peter A. Banks, MD;
Peter T. Sum, MD
AMA Arch Surg. 1971;102(5):505-508.
Abstract
In unanesthetized dogs with chronic gastric and pancreatic fistulas, an intravenous infusion of acetazolamide (Diamox), superimposed on a steady-state infusion of secretin, caused a prompt reduction in the volume and bicarbonate concentration of pancreatic secretion and a delayed reduction in potassium concentration. These changes were not caused by alterations in serum electrolytes or by the development of a metabolic acidosis. The reductions in volume and bicarbonate concentration were too rapid and extensive to be accounted for by compensatory respiratory mechanisms, and hence reflect a direct effect of acetazolamide on pancreatic secretion. Reductions in bicarbonate concentration during the infusion of acetazolamide appeared to bear a physiologic relationship to the induced slower flow rates.
Author Affiliations
Boston
From the departments of surgery (Dr. Sum) and gastroenterology (Dr. Banks), Beth Israel Hospital and Harvard Medical School, Boston.
Footnotes
Accepted for publication Dec 21, 1970.
Reprint requests to 1101 Beacon St, Brookline, Mass 02146 (Dr. Banks).
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