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首页> 外文期刊>HPB Surgery >Metabolic Alterations in Obstructive Jaundice: Effect of Duration of Jaundice and Bile-Duct Decompression
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Metabolic Alterations in Obstructive Jaundice: Effect of Duration of Jaundice and Bile-Duct Decompression

机译:黄疸的代谢变化:黄疸持续时间和胆管减压的影响

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We examined the effect of prolonged bile duct obstruction, and subsequent biliary decompression, onbiochemical and metabolic parameters, using a reversible jaundice model in male Fischer 344 rats. Theanimals were studied after biliary obstruction for varying periods (4 days, one week, and two weeks) andfollowing decompression. They were sacrificed one or two weeks following decompression. All the ratswere compared to sham operated, pair-fed, controls. Obstructive jaundice rapidly increased bilirubin,liver enzymes, serum free fatty acid, and triglyceride levels. Glucose levels were significantly decreasedin the jaundice rats compared to their pair-fed controls. Only after two weeks of jaundice was significanthypoalbuminemia observed. Following decompression, all biochemical and metabolic values graduallyreturned to normal levels, except for albumin. Hypoalbuminemia was not reversed within the two-weekpost-decompression period. The rats jaundiced for two weeks had significantly higher mortality,compared to the other groups. We conclude that prolonged jaundice adversely affects the metaboliccapacity of the rats, with albumin concentration being markedly decreased, and that biliary decompressioncould not reverse completely all the alterations seen with cholestasis, especially following twoweeks of bile duct obstruction.
机译:我们在雄性Fischer 344大鼠中使用可逆性黄疸模型检查了延长的胆管阻塞以及随后的胆道减压,生化和代谢参数的影响。在胆道阻塞不同时间段(4天,1周和2周)和减压后对动物进行了研究。减压后一到两周将他们处死。将所有大鼠与假操作,配对喂养的对照进行比较。梗阻性黄疸会迅速增加胆红素,肝酶,血清游离脂肪酸和甘油三酸酯水平。与配对喂养的对照组相比,黄疸大鼠的葡萄糖水平显着降低。黄疸两周后才发现明显的低白蛋白血症。减压后,除白蛋白外,所有生化和代谢值均逐渐恢复到正常水平。减压后两周内低白蛋白血症没有逆转。与其他组相比,黄疸两周的大鼠死亡率明显更高。我们得出结论,长期黄疸会对大鼠的代谢能力产生不利影响,白蛋白浓度显着降低,并且胆道减压不能完全逆转胆汁淤积所见的所有变化,尤其是在胆管阻塞两周后。

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