Page last updated: 2024-10-18

hydrogen carbonate and Exocrine Pancreatic Insufficiency

hydrogen carbonate has been researched along with Exocrine Pancreatic Insufficiency in 24 studies

Bicarbonates: Inorganic salts that contain the -HCO3 radical. They are an important factor in determining the pH of the blood and the concentration of bicarbonate ions is regulated by the kidney. Levels in the blood are an index of the alkali reserve or buffering capacity.
hydrogencarbonate : The carbon oxoanion resulting from the removal of a proton from carbonic acid.

Exocrine Pancreatic Insufficiency: A malabsorption condition resulting from greater than 10% reduction in the secretion of pancreatic digestive enzymes (LIPASE; PROTEASES; and AMYLASE) by the EXOCRINE PANCREAS into the DUODENUM. This condition is often associated with CYSTIC FIBROSIS and with chronic PANCREATITIS.

Research Excerpts

ExcerptRelevanceReference
"Fifteen patients with cystic fibrosis and pancreatic insufficiency were studied during four randomised seven day treatment periods in which they received only pancreatic supplement (Pancrelipase, 27 capsules per day) or supplement plus cimetidine (20 mg/kg body weight/24 h) or sodium bicarbonate (15 g/m2/24 h) alone or in combination."9.05Effect of cimetidine and sodium bicarbonate on pancreatic replacement therapy in cystic fibrosis. ( Bell, L; Corey, ML; Durie, PR; Forstner, GG; Linton, W, 1980)
"Fifteen patients with cystic fibrosis and pancreatic insufficiency were studied during four randomised seven day treatment periods in which they received only pancreatic supplement (Pancrelipase, 27 capsules per day) or supplement plus cimetidine (20 mg/kg body weight/24 h) or sodium bicarbonate (15 g/m2/24 h) alone or in combination."5.05Effect of cimetidine and sodium bicarbonate on pancreatic replacement therapy in cystic fibrosis. ( Bell, L; Corey, ML; Durie, PR; Forstner, GG; Linton, W, 1980)
"A quantitative correlation between computer-tomographic (CT) findings and exocrine pancreatic function following secretin-ceruletide stimulation was performed in 48 patients with chronic pancreatitis; thereby a significant correlation between the degree of morphological changes in CT and the stage of functional impairment was found (r = 0,7841, p less than 0,001)."3.66[Ct-morphology and exocrine function in chronic pancreatitis]. ( Büchler, M; Ditschuneit, H; Maier, W; Malfertheiner, P; Walliser, A, 1983)
"The effect of the addition of sodium bicarbonate, aluminum hydroxide, magnesium hydroxide, calcium carbonate, or cimetidine to supplemental pancreatic enzyme therapy was investigated in patients with severe exocrine pancreatic insufficiency."3.66Pancreatic enzyme replacement: the effect of antacids or cimetidine. ( Graham, DY, 1982)
"Cystic fibrosis is a monogenic disease considered to affect at least 100 000 people worldwide."2.72Cystic fibrosis. ( Davies, JC; Haq, IJ; Polineni, D; Shteinberg, M, 2021)
"Among the 36 patients with alcoholic pancreatitis, most had impaired pancreatic function at both duodenal intubation (8/8, 100%) and at AACT (22/28, 78."1.32Exocrine pancreatic function after alcoholic or biliary acute pancreatitis. ( Gullo, L; Migliori, M; Pezzilli, R; Tomassetti, P, 2004)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-199011 (45.83)18.7374
1990's4 (16.67)18.2507
2000's3 (12.50)29.6817
2010's5 (20.83)24.3611
2020's1 (4.17)2.80

Authors

AuthorsStudies
Shteinberg, M1
Haq, IJ1
Polineni, D1
Davies, JC1
Engjom, T2
Erchinger, F2
Tjora, E2
Lærum, BN2
Georg, D1
Gilja, OH2
Aksnes, L1
Dimcevski, G1
Domínguez Muñoz, JE1
Zhong, N1
Saenger, AK1
Topazian, M1
Gleeson, FC1
Chari, ST1
Clain, JE1
Levy, MJ1
Rajan, E1
Enders, FT1
Pelley, JR1
Gordon, SR1
Gardner, TB1
Migliori, M1
Pezzilli, R1
Tomassetti, P1
Gullo, L2
Talamini, G1
Kalnins, D1
Ellis, L1
Corey, M1
Pencharz, PB1
Stewart, C1
Tullis, E1
Durie, PR2
Malfertheiner, P1
Maier, W1
Walliser, A1
Büchler, M1
Ditschuneit, H1
Graham, DY2
Adelson, JW1
Pidgeon, G1
Strombeck, DR1
Bell, L1
Linton, W1
Corey, ML1
Forstner, GG1
Bozkurt, T1
Braun, U1
Leferink, S1
Gilly, G1
Lux, G1
Bovo, P1
Cataudella, G1
Di Francesco, V1
Vaona, B1
Filippini, M1
Marcori, M1
Montesi, G1
Rigo, L1
Frulloni, L1
Brunori, MP1
D'Ambrosi, A1
Verzola, A1
Gennaro, P1
Gatto, S1
Catellani, M1
La Corte, R1
Borgo, G1
Mastella, G1
Gasparini, P1
Zorzanello, A1
Doro, R1
Pignatti, PF1
Chen, WL1
Morishita, R1
Eguchi, T1
Kawai, T1
Uchino, H1
Gerber, B1
Gerber, S1
Arendt, R1
Lankisch, PG1
Otto, J1
Santini, B1
Dell'Olio, D1
Robazza, PV1
Fantino, N1
Ansaldi, N1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Development a Core Set for Adults With Cystic Fibrosis Based on the International Classification of Functioning, Disability, and Health (ICF)[NCT06128499]30 participants (Anticipated)Observational2023-12-20Not yet recruiting
Magnetic Resonance Cholangiopancreatography (MRCP): A Reliable, Non Invasive Method for Staging Chronic Pancreatitis From Minimal Change Disease to the Advanced Stages in Pediatrics[NCT02869893]57 participants (Actual)Interventional2016-08-10Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Pancreatic Stiffness as Measured by Magnetic Resonance Elastography (MRE)

Healthy controls underwent 3D MRE on a 1.5T scanner. Regions of interest for measurement of pancreatic stiffness were drawn by two blinded readers and statistical analysis were performed for comparisons between the 2 groups. (NCT02869893)
Timeframe: Single time point, pre-secretin

InterventionkPa (Mean)
Healthy Participants1.7

Total Secreted Fluid Volume as Measured by MR-PFT

"Participants underwent MR imaging prior to and following secretin administration. Pre-secretin imaging lasts approximately 20 minutes. Post-secretin images were acquired at 1 minute, 5 minutes and 15 minutes following completion of secretin injection. Pre-secretin enteric fluid volumes were subtracted from post-secretin enteric fluid volumes for each participant to determine volume secreted in response to secretin administration at each time point.~A commercially available software package determines the area of fluid signal on the MR images. The fluid signal from the pre-secretin images is then subtracted from the each post-secretin image (1, 5 and 15 minutes images) to determine the amount of fluid produced by the introduction of secretin." (NCT02869893)
Timeframe: 35 minutes (20 min pre-secretin, 15 minutes post-secretin)

InterventionmL (Median)
Healthy Participants79

Volumetric Measurement of Pancreatic Parenchymal Volume

Pancreatic parenchymal volume by manual segmentation (tracing) of pancreas contours on magnetic resonance imaging (MRI) (NCT02869893)
Timeframe: Single time point, pre-secretin

InterventionmL (Mean)
Healthy Participants46

Reviews

3 reviews available for hydrogen carbonate and Exocrine Pancreatic Insufficiency

ArticleYear
Cystic fibrosis.
    Lancet (London, England), 2021, 06-05, Volume: 397, Issue:10290

    Topics: Bicarbonates; Chlorides; Cystic Fibrosis; Cystic Fibrosis Transmembrane Conductance Regulator; Disea

2021
[Latest advances in chronic pancreatitis].
    Gastroenterologia y hepatologia, 2015, Volume: 38 Suppl 1

    Topics: Autoimmune Diseases; Bicarbonates; Early Diagnosis; Elasticity Imaging Techniques; Endoscopic Ultras

2015
Pathophysiology of the pancreas in cystic fibrosis.
    Journal of pediatric gastroenterology and nutrition, 1984, Volume: 3 Suppl 1

    Topics: Animals; Bicarbonates; Biological Transport; Chlorides; Cystic Fibrosis; Exocrine Pancreatic Insuffi

1984

Trials

3 trials available for hydrogen carbonate and Exocrine Pancreatic Insufficiency

ArticleYear
Enteric-coated pancreatic enzyme with bicarbonate is equal to standard enteric-coated enzyme in treating malabsorption in cystic fibrosis.
    Journal of pediatric gastroenterology and nutrition, 2006, Volume: 42, Issue:3

    Topics: Adolescent; Adult; Bicarbonates; Child; Cross-Over Studies; Cystic Fibrosis; Double-Blind Method; Ex

2006
Effect of cimetidine and sodium bicarbonate on pancreatic replacement therapy in cystic fibrosis.
    Gut, 1980, Volume: 21, Issue:9

    Topics: Adolescent; Bicarbonates; Celiac Disease; Child; Cimetidine; Cystic Fibrosis; Dietary Fats; Drug The

1980
Maximal effective dose of cerulein in the secretin-cerulein test.
    Digestion, 1988, Volume: 39, Issue:4

    Topics: Adult; Bicarbonates; Ceruletide; Chronic Disease; Chymotrypsin; Clinical Trials as Topic; Exocrine P

1988

Other Studies

18 other studies available for hydrogen carbonate and Exocrine Pancreatic Insufficiency

ArticleYear
Diagnostic accuracy of secretin-stimulated ultrasonography of the pancreas assessing exocrine pancreatic failure in cystic fibrosis and chronic pancreatitis.
    Scandinavian journal of gastroenterology, 2015, Volume: 50, Issue:5

    Topics: Adolescent; Adult; Aged; Bicarbonates; Case-Control Studies; Cystic Fibrosis; Duodenum; Exocrine Pan

2015
Diagnostic Accuracy of a Short Endoscopic Secretin Test in Patients With Cystic Fibrosis.
    Pancreas, 2015, Volume: 44, Issue:8

    Topics: Adolescent; Adult; Aged; Bicarbonates; Cystic Fibrosis; Duodenum; Endoscopy; Exocrine Pancreatic Ins

2015
An automated analyzer provides clinically concordant results to manual back titration for quantitation of bicarbonate in pancreatic juice.
    Pancreas, 2011, Volume: 40, Issue:3

    Topics: Adult; Autoanalysis; Bicarbonates; Exocrine Pancreatic Insufficiency; Female; Humans; Male; Middle A

2011
Abnormal duodenal [HCO3-] following secretin stimulation develops sooner than endocrine insufficiency in minimal change chronic pancreatitis.
    Pancreas, 2012, Volume: 41, Issue:3

    Topics: Adult; Bicarbonates; Chi-Square Distribution; Disease Progression; Duodenum; Endosonography; Exocrin

2012
Exocrine pancreatic function after alcoholic or biliary acute pancreatitis.
    Pancreas, 2004, Volume: 28, Issue:4

    Topics: Acute Disease; Adolescent; Adult; Aged; Amino Acids; Bicarbonates; Ceruletide; Cholelithiasis; Chymo

2004
Duodenal acidity may increase the risk of pancreatic cancer in the course of chronic pancreatitis: an etiopathogenetic hypothesis.
    JOP : Journal of the pancreas, 2005, Mar-10, Volume: 6, Issue:2

    Topics: Alcohol Drinking; Bicarbonates; Duodenum; Exocrine Pancreatic Insufficiency; Gastric Acid; Humans; H

2005
[Ct-morphology and exocrine function in chronic pancreatitis].
    Zeitschrift fur Gastroenterologie, 1983, Volume: 21, Issue:12

    Topics: Adult; Aged; Amylases; Bicarbonates; Ceruletide; Chronic Disease; Chymotrypsin; Exocrine Pancreatic

1983
Pancreatic enzyme replacement: the effect of antacids or cimetidine.
    Digestive diseases and sciences, 1982, Volume: 27, Issue:6

    Topics: Adult; Aluminum Hydroxide; Antacids; Bicarbonates; Calcium Carbonate; Celiac Disease; Cimetidine; Ex

1982
Ins and outs of pancreatic enzymes and adjuvant therapies.
    Journal of pediatric gastroenterology and nutrition, 1984, Volume: 3 Suppl 1

    Topics: Bicarbonates; Celiac Disease; Enzyme Therapy; Exocrine Pancreatic Insufficiency; Humans; Lipase; Pan

1984
Evaluation of treatment for pancreatic exocrine insufficiency in dogs with ligated pancreatic ducts.
    American journal of veterinary research, 1982, Volume: 43, Issue:3

    Topics: Animals; Bicarbonates; Bile Acids and Salts; Cimetidine; Dog Diseases; Dogs; Exocrine Pancreatic Ins

1982
Comparison of pancreatic morphology and exocrine functional impairment in patients with chronic pancreatitis.
    Gut, 1994, Volume: 35, Issue:8

    Topics: Adult; Aged; Amylases; Bicarbonates; Chronic Disease; Exocrine Pancreatic Insufficiency; Female; Hum

1994
Intraluminal gastric pH in chronic pancreatitis.
    Gut, 1995, Volume: 36, Issue:2

    Topics: Bicarbonates; Chronic Disease; Circadian Rhythm; Digestion; Exocrine Pancreatic Insufficiency; Femal

1995
[Functional reserve of the exocrine pancreas in Sjögren's syndrome].
    Recenti progressi in medicina, 1997, Volume: 88, Issue:1

    Topics: Adult; Aged; Arthritis, Rheumatoid; Bicarbonates; Ceruletide; Exocrine Pancreatic Insufficiency; Fem

1997
Pancreatic function and gene deletion F508 in cystic fibrosis.
    Journal of medical genetics, 1990, Volume: 27, Issue:11

    Topics: Adolescent; Adult; Bicarbonates; Child; Child, Preschool; Chromosome Deletion; Chromosomes, Human, P

1990
The absorption of free vitamin B12 and R protein-bound vitamin B12 in the diagnosis of pancreatic exocrine insufficiency in rats.
    International journal of pancreatology : official journal of the International Association of Pancreatology, 1987, Volume: 2, Issue:4

    Topics: Animals; Bicarbonates; Bile Ducts; Exocrine Pancreatic Insufficiency; Intestinal Absorption; Ligatio

1987
[Interdigestive and postprandial duodenal pH in healthy probands, in patients with ulcer and in chronic pancreatitis].
    Deutsche Zeitschrift fur Verdauungs- und Stoffwechselkrankheiten, 1987, Volume: 47, Issue:4

    Topics: Acid-Base Equilibrium; Bicarbonates; Chronic Disease; Duodenal Ulcer; Duodenum; Eating; Exocrine Pan

1987
Salivary isoamylase in duodenal aspirates.
    Digestive diseases and sciences, 1986, Volume: 31, Issue:12

    Topics: Adolescent; Adult; Aged; Bicarbonates; Cholecystokinin; Duodenum; Exocrine Pancreatic Insufficiency;

1986
[Evaluation of the function of the exocrine pancreas in childhood by stimulation with ceruletide and secretin].
    Minerva pediatrica, 1985, Aug-31, Volume: 37, Issue:15-16

    Topics: Bicarbonates; Ceruletide; Child; Child, Preschool; Cystic Fibrosis; Exocrine Pancreatic Insufficienc

1985