Effect of ulinastatin on inflammatory responses induced by oesophagectomy / 南方医科大学学报
Journal of Southern Medical University
;
(12): 81-83, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-298236
ABSTRACT
<p><b>OBJECTIVE</b>To examine the effect of ulinastatin (UTI) on the inflammatory responses induced by oesophagectomy.</p><p><b>METHODS</b>Forty patients with esophageal cancer (without serious hypertension, heart disease, or respiratory function impairment, including 34 men and 6 women aged 46 to 70 years) scheduled for oesophagectomy via left thoracotomy were randomly divided into control group (n=20) and UTI group (n=20). Anesthesia induction and perioperative management followed the same protocols in the two groups, and in UTI group, patients received 5000 U/kg UTI while those in the control group were given the same volume of saline. Before operation (T(1)), 10 min after recovery of two-lung ventilation (T(2)), and 24 h (T(3)) and 48 h (T(4)) after operation, the venous blood sample was taken from the internal jugular vein and the plasma was separated and stored at -70 degrees C for later analysis of IL-6 and IL-8 with enzyme-linked immunosorbent assay (ELISA). The bronchoalveoar lavage fluid (BAFL) was also collected at T(1) and T(2) for IL-6 and IL-8 detection.</p><p><b>RESULTS</b>IL-6, IL-8 levels in the plasma and BALF collected at T(2)-T(4) increased significantly as compared with those in samples collected at T(1), and their peak concentration inplasma and BALF samples were similar. IL-6 and IL-8 levels in the UTI group were significantly lower than those in the control group during the time points of T(2)-T(4).</p><p><b>CONCLUSION</b>Inflammatory responses occur during and after oesophagectomy, which can be inhibited with UTI.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Postoperative Complications
/
General Surgery
/
Blood
/
Esophageal Neoplasms
/
Glycoproteins
/
Trypsin Inhibitors
/
Interleukin-8
/
Interleukin-6
/
Treatment Outcome
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2007
Type:
Article
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