Endotoxinemia in the portal and the systemic circulation in obstructive jaundice

被引:50
作者
Papakostas, C
Bezirtzoglou, E [1 ]
Pitiakoudis, M
Polychronidis, A
Simopoulos, C
机构
[1] Univ Ioannina, Sch Med, Dept Microbiol, GR-45110 Ioannina, Greece
[2] Democritus Univ Thrace, Sch Med, Dept Expt Surg, Alexandroupolis, Greece
关键词
obstructive jaundice; endotoxinemia; portal circulation; systemic circulation;
D O I
10.1007/s10238-003-0015-y
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 [基础医学];
摘要
Endotoxinemia in patients with obstructive jaundice is linked to acute renal failure and sepsis and remains a major cause of complications during postoperative treatment. The current study examines the mechanisms of endotoxinemia in the portal and the systemic circulation in obstructive jaundice. As an experimental model of the disease we used rabbits subjected to sham operation. Serum total bilirubin aminotransferases and endotoxin concentrations were determined at 2, 5, 8, and 13 days after operation. Endotoxin concentrations were estimated by the limulus lysate endotoxin test. A high frequency of portal or systemic endotoxinemia is observed in obstructive jaundice, but no difference between endotoxinemia levels in the portal and systemic circulation was observed.
引用
收藏
页码:124 / 128
页数:5
相关论文
共 17 条
[1]
ENDOTOXIN, BILE-SALTS AND RENAL-FUNCTION IN OBSTRUCTIVE-JAUNDICE [J].
BAILEY, ME .
BRITISH JOURNAL OF SURGERY, 1976, 63 (10) :774-778
[2]
PREVENTION OF POSTOPERATIVE RENAL-FAILURE IN PATIENTS WITH OBSTRUCTIVE-JAUNDICE - THE ROLE OF BILE-SALTS [J].
CAHILL, CJ .
BRITISH JOURNAL OF SURGERY, 1983, 70 (10) :590-595
[3]
DIAMOND T, 1990, SURGERY, V108, P370
[4]
EXPERIMENTAL BILIARY FIBROSIS CORRELATES WITH INCREASED NUMBERS OF FAT-STORING AND KUPFFER CELLS, AND PORTAL ENDOTOXEMIA [J].
GRINKO, I ;
GEERTS, A ;
WISSE, E .
JOURNAL OF HEPATOLOGY, 1995, 23 (04) :449-458
[5]
ENDOTOXEMIA, DISTURBANCE OF COAGULATION, AND OBSTRUCTIVE-JAUNDICE [J].
HUNT, DR ;
ALLISON, MEM ;
PRENTICE, CRM ;
BLUMGART, LH .
AMERICAN JOURNAL OF SURGERY, 1982, 144 (03) :325-329
[6]
ENDOTOXEMIA IN HUMAN OBSTRUCTIVE-JAUNDICE - EFFECT OF POLYMYXIN-B [J].
INGOLDBY, CJ ;
MCPHERSON, GAD ;
BLUMGART, LH .
AMERICAN JOURNAL OF SURGERY, 1984, 147 (06) :766-771
[7]
Kordzaya D J, 2000, Przegl Lek, V57 Suppl 5, P36
[8]
Mullie Catherine, 2001, Microbial Ecology in Health and Disease, V13, P160, DOI 10.1080/089106001750462713
[9]
Promotion of bacterial translocation by major liver resection in obstructive jaundice in rats colonised predominantly with indigenous Escherichia coli [J].
Narioka, J ;
Nishi, M ;
Ogata, Y ;
Kuwahara, T ;
Nakayama, H ;
Tashiro, S ;
Ohnishi, Y .
JOURNAL OF MEDICAL MICROBIOLOGY, 2002, 51 (08) :687-694
[10]
PERIOPERATIVE COMPLICATIONS IN OBSTRUCTIVE-JAUNDICE - THERAPEUTIC CONSIDERATIONS [J].
PAIN, JA ;
CAHILL, CJ ;
BAILEY, ME .
BRITISH JOURNAL OF SURGERY, 1985, 72 (12) :942-945