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1.
Chinese Journal of Emergency Medicine ; (12)2006.
Artigo em Chinês | WPRIM | ID: wpr-575195

RESUMO

Objective To study the relationship between the bile flow and CCK, GAS and SEC hormones in the rabbits after traumatic stress. Methods Bile flow was counted by bile duct intubation and the models of traumatic stress were produced by cutting the hind legs of rabbits. Bile flow, CCK, GAS and secretin in plasma were measured before and after stress. Results Bile flow after traumatic stress was significantly increased (P

2.
The Journal of the Korean Society for Transplantation ; : 287-294, 1999.
Artigo em Coreano | WPRIM | ID: wpr-150625

RESUMO

BACKGROUND: The pathogenesis of primary non function or delayed graft function after liver transplantation is not yet clearly defined. However it is presumed that these unhappy events most likely attributes to the Kupffer cell-mediated, reperfusion injury aggravating the sinusoidal endothelial cell damage following preformed ischemic insults. Prostaglandin (PG) I2 and its analogues were reported to protect the liver against ischemic injury thereby be efficacious for the use during the preservation of harvested liver. Prevention of platelet aggregation, vasodilation, stabilization of lysosomal membranes, and inhibition of thromboxane generated by platelets may be the attributable biological activities of PGI2. PURPOSES: We designed this experimental study to assess the effect of continuous PGI2 infusion during in situ liver splitting on the bile flow from liver segment during resection and after reimplantation, and to establish our unique autotransplantation model in mongrel dogs before warming-up of living donor partial liver transplantation in the clinic. METHODS: Mongrel dogs weighing 15-25 kg were used after fasting for 12 hours. After endotracheal intubation under monitoring, abdomen was opened through the Chevron incision extending to xiphoid process. Initially, the right hepatic duct was ligated and divided. The common bile duct was divided, the end being cannulated proximally and drained. Basal bile flow was measured for 1 hour as a reference value. The left partial graft including the right medial, quadrate, left medial, left lateral lobe, and the papillary process of caudate lobe was resected en bloc. After cold flushing ex vivo, the harvested segment was immediately reimplanted orthotopically. In PGI2 group, PGI2 50 microgram was slowly infused through splenic venous cannulation. After closing the abdomen, the bile flow was measured continuously. RESULTS: Eleven out of 24 dogs were alive 12 hours after surgery; 5 in PGI2 and 6 in control group. Basal mean bile flow (BF) rate were 2.9 ml/hr/100 gm of liver tissue in control vs. 2.5 ml/hr/100 gm in PGI2 group. This difference did not reach the statistical significance. However, postoperative BF increased significantly in PGI2 group; 0.45 ml/hr/100 gm in contro vs. 1.71 ml/hr/100 gm in PGI2 group (p=0.04). CONCLUSION: Continuous infusion of PGI2 through the splenic vein during the harvest of the liver could mitigate the manipulation injury. The BF reflecting the quality of resected liver segment was relatively well preserved in PGI2 group after canine autotransplantation model. This model is not complicated, and will be useful for the mastery of surgical techniques for the living donor partial liver transplantation in the clinic.


Assuntos
Animais , Cães , Humanos , Abdome , Autoenxertos , Bile , Cateterismo , Ducto Colédoco , Função Retardada do Enxerto , Células Endoteliais , Epoprostenol , Jejum , Rubor , Ducto Hepático Comum , Intubação Intratraqueal , Transplante de Fígado , Fígado , Doadores Vivos , Membranas , Agregação Plaquetária , Valores de Referência , Traumatismo por Reperfusão , Reimplante , Veia Esplênica , Transplantes , Vasodilatação
3.
Chinese Traditional Patent Medicine ; (12)1992.
Artigo em Chinês | WPRIM | ID: wpr-682257

RESUMO

Objective: To observe the cholagogic effect of Danning Tablet. Methods: We determined the gallbladder contractibility, the bile flow volume and the tensity of Oddis sphincte of rabbit. Results: Danning Tablet could increase the frequence and extent of the gallbladder contractibility and the bile flow volume, it also relaxed Oddis sphincte ( P

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