Abstract
BackgroundPancreatic duct ligation in a minipig model leads to exocrine pancreatic insufficiency (EPI). This allows studies of digestive processes and pancreatic enzyme replacement therapies (PERT). However, detailed descriptions of the surgical procedure, perioperative management, and determination of exocrine pancreatic insufficiency are scarce in literature. To date, data of long-term health status of minipigs after induction of EPI are not available. This study describes in detail the experimental approach of EPI-induction via pancreatic duct ligation in minipigs and long-term results of the animal’s health state.Methods14 Goettingen minipigs underwent pancreatic duct ligation via midline laparotomy for the induction of exocrine pancreatic insufficiency. Fecal fat content, fat absorption, body weight, chymotrypsin levels, blood vitamin levels and glucose levels were determined. Follow-up data was gathered for a period of 180 weeks postoperatively.ResultsExocrine pancreatic insufficiency was successfully induced in 12 Goettingen minipigs. Fecal fat content increased from 9.0% to 30.9% (p < 0.001). Mean coefficient of fat absorption decreased from 90% (± 2.8) to 24.2% (± 8.3). PERT led to a significant increase of fat absorption. Two minipigs failed to develop exocrine insufficiency most likely due to undetected accessory pancreatic ducts. All animals tolerated the procedure very well and gained weight within 6 weeks past surgery. Follow up for 180 weeks showed a stable body weight and health state of the animals with normal blood glucose levels. Vitamin E and B12 levels dropped significantly between post-op week 125 and 134 requiring vitamin supplementation. ConclusionsPancreatic duct ligation in minipigs is an excellent method to induce exocrine pancreatic insufficiency. It is important to identify and ligate accessory pancreatic ducts since persistence of accessory ducts will lead to maintenance of exocrine pancreatic function. The EPI model caused no persistent side effects in the animals and can be applied in long-term EPI studies. However, it is important to substitute Vitamin B12 and E as their concentration drops in the long-term period.