Improving biliary-enteric drainage in primary sclerosing cholangitis: experience with endoscopic methods.

Abstract:

:Six jaundiced patients with primary sclerosing cholangitis and a dominant biliary stricture were managed by endoscopic placement of endoprostheses. Five showed considerable improvement within weeks of stenting: their serum bilirubin concentration fell from mean (range) 266 mumol/l (63-681) to 65 mumol/l (10-280) after one month. One patient required a liver transplant at five months because of continued deterioration in hepatic function. Follow up of 12-49 months in the remaining five patients shows sustained biochemical improvement, with repeat cholangiograms indicating doubling of the minimum calibre of the extrahepatic bile duct in four patients and considerable shortening of stricture length in three. Three patients developed sepsis at the time of the initial endoprosthesis insertion: surgical drainage was necessary in one. Endoscopic methods of improving biliary-enteric drainage in jaundiced patients with primary sclerosing cholangitis may be preferable to surgical and percutaneous methods, which may complicate subsequent liver transplantation.

journal_name

Gut

journal_title

Gut

authors

Lombard M,Farrant M,Karani J,Westaby D,Williams R

doi

10.1136/gut.32.11.1364

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

1364-8

issue

11

eissn

0017-5749

issn

1468-3288

journal_volume

32

pub_type

杂志文章

相关文献

GUT文献大全
  • Postprandial plasma concentrations of glycine and taurine conjugated bile acids in healthy subjects.

    abstract::Fasting and postprandial plasma concentrations of glycine and taurine conjugates of cholic, chenodeoxycholic, and deoxycholic acid were measured by a high pressure liquid chromatography-enzymatic assay in nine healthy subjects. The mean value of each bile acid concentration increased significantly (2.4-4.7 times) in t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.3.249

    authors: Linnet K

    更新日期:1983-03-01 00:00:00

  • Cellular detection of sst2A receptors in human gastrointestinal tissue.

    abstract:BACKGROUND AND AIMS:Many neuroendocrine gastrointestinal tumours express receptors for the regulatory peptide somatostatin. Among the five existing somatostatin receptor (sst) subtypes, sst2A is the most frequently expressed in these tumours. However, little information is available about the cellular location of sst2A...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.042002

    authors: Gugger M,Waser B,Kappeler A,Schonbrunn A,Reubi JC

    更新日期:2004-10-01 00:00:00

  • Measurement and correlation of wedged hepatic, intrahepatic, intrasplenic and intravariceal pressures in patients with cirrhosis of liver and non-cirrhotic portal fibrosis.

    abstract::In order to examine the relationship of various haemodynamic parameters in two different liver diseases, 10 patients with cirrhosis of liver and 14 patients with non-cirrhotic portal fibrosis were studied. In cirrhotics, mean (+/- SD) wedged hepatic (25.8 +/- 6.4 mmHg), intrahepatic (24.5 +/- 6.2 mmHg) and intraspleni...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.3.260

    authors: Sarin SK,Sethi KK,Nanda R

    更新日期:1987-03-01 00:00:00

  • CD248/endosialin critically regulates hepatic stellate cell proliferation during chronic liver injury via a PDGF-regulated mechanism.

    abstract:INTRODUCTION:CD248 (endosialin) is a stromal cell marker expressed on fibroblasts and pericytes. During liver injury, myofibroblasts are the main source of fibrotic matrix. OBJECTIVE:To determine the role of CD248 in the development of liver fibrosis in the rodent and human setting. DESIGN:CD248 expression was studie...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-308325

    authors: Wilhelm A,Aldridge V,Haldar D,Naylor AJ,Weston CJ,Hedegaard D,Garg A,Fear J,Reynolds GM,Croft AP,Henderson NC,Buckley CD,Newsome PN

    更新日期:2016-07-01 00:00:00

  • Comparison of the Rome IV criteria with the Rome III criteria for the diagnosis of irritable bowel syndrome in secondary care.

    abstract:OBJECTIVES:Despite being proposed 4 years ago, there has been no independent validation study of the Rome IV criteria for IBS. We assessed their performance for the diagnosis of IBS in secondary care and compared them with the previous iteration, the Rome III criteria. DESIGN:We collected complete symptom data from co...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2020-322519

    authors: Black CJ,Craig O,Gracie DJ,Ford AC

    更新日期:2020-09-24 00:00:00

  • Prevalence and burden of hepatitis D virus infection in the global population: a systematic review and meta-analysis.

    abstract:OBJECTIVE:Hepatitis D virus (HDV) is a defective virus that completes its life cycle only with hepatitis B virus (HBV). The HBV with HDV super-infection has been considered as one of the most severe forms of the chronic viral hepatitis. However, there is a scarcity of data on the global burden of HDV infection. DESIGN...

    journal_title:Gut

    pub_type: 杂志文章,meta分析

    doi:10.1136/gutjnl-2018-316601

    authors: Chen HY,Shen DT,Ji DZ,Han PC,Zhang WM,Ma JF,Chen WS,Goyal H,Pan S,Xu HG

    更新日期:2019-03-01 00:00:00

  • Enhanced mucosal permeability and nitric oxide synthase activity in jejunum of mast cell deficient mice.

    abstract:BACKGROUND:Recent reports have described a modulating influence of nitric oxide (NO) on intestinal mucosal permeability and have implicated a role for mast cells in this NO mediated process. AIMS:To assess further the contribution of mast cells to the mucosal permeability changes elicited by the NO synthase (NOS) inhi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.41.5.636

    authors: Komatsu S,Grisham MB,Russell JM,Granger DN

    更新日期:1997-11-01 00:00:00

  • Fetal mortality associated with cholestasis of pregnancy and the potential benefit of therapy with ursodeoxycholic acid.

    abstract::Cholestasis of pregnancy is associated with increased fetal morbidity and mortality and should be treated actively. The significance attached to pruritus in pregnancy is often minimal, but it is a cardinal symptom of cholestasis of pregnancy, which may have no other clinical features. Eight women with previous cholest...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.4.580

    authors: Davies MH,da Silva RC,Jones SR,Weaver JB,Elias E

    更新日期:1995-10-01 00:00:00

  • The clinical and biological significance of MIR-224 expression in colorectal cancer metastasis.

    abstract:OBJECTIVE:MicroRNA (miRNA) expression profile can be used as prognostic marker for human cancers. We aim to explore the significance of miRNAs in colorectal cancer (CRC) metastasis. DESIGN:We performed miRNA microarrays using primary CRC tissues from patients with and without metastasis, and validated selected candida...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2015-309372

    authors: Ling H,Pickard K,Ivan C,Isella C,Ikuo M,Mitter R,Spizzo R,Bullock M,Braicu C,Pileczki V,Vincent K,Pichler M,Stiegelbauer V,Hoefler G,Almeida MI,Hsiao A,Zhang X,Primrose J,Packham G,Liu K,Bojja K,Gafà R,Xiao L

    更新日期:2016-06-01 00:00:00

  • Magnetic resonance for assessment of disease activity and severity in ileocolonic Crohn's disease.

    abstract:OBJECTIVE:Assessment of disease extension and activity is crucial to guide treatment in Crohn's disease. The objective of the current cross-sectional study was to determine the accuracy of MR for this assessment. DESIGN:50 patients with clinically active (n = 35) or inactive (n = 15) Crohn's disease underwent ileocolo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2008.167957

    authors: Rimola J,Rodriguez S,García-Bosch O,Ordás I,Ayala E,Aceituno M,Pellisé M,Ayuso C,Ricart E,Donoso L,Panés J

    更新日期:2009-08-01 00:00:00

  • Human peripheral and gastric lymphocyte responses to Helicobacter pylori NapA and AphC differ in infected and uninfected individuals.

    abstract:BACKGROUND:In this study, we identify the nature of the immunological response of human peripheral blood mononuclear cells (PBMC) and lamina propria gastric lymphocytes (LPL) to two Helicobacter pylori antigens, the neutrophil activating protein (NapA) and alkyl hydroperoxide reductase (AphC). These antigens were ident...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.025494

    authors: Windle HJ,Ang YS,Athie-Morales V,McManus R,Kelleher D

    更新日期:2005-01-01 00:00:00

  • Gastric mucosal morphology and faecal blood loss during ethanol ingestion.

    abstract::The faecal blood loss of six alcoholic subjects with normal gastric mucosa, six with superficial gastritis, and six with atrophic gastritis was studied before and during ingestion of 40% v/v ethanol using (51)Cr-tagged red blood cells. No significant change in faecal blood loss was observed in the normal mucosa and su...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.4.289

    authors: Dinoso VP Jr,Meshkinpour H,Lorber SH

    更新日期:1973-04-01 00:00:00

  • Role of the gut in the pathophysiology of extrahepatic biliary obstruction.

    abstract:BACKGROUND:Gram negative septic events are the commonest source of morbidity and mortality as a result of surgery in jaundiced patients. The large intestine provides the major source of Gram negative bacteria in mammals and is implicated in the pathogenesis of systemic endotoxaemia in obstructive jaundice. Bile salts h...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.4.587

    authors: Clements WD,Parks R,Erwin P,Halliday MI,Barr J,Rowlands BJ

    更新日期:1996-10-01 00:00:00

  • Once daily versus three times daily mesalazine granules in active ulcerative colitis: a double-blind, double-dummy, randomised, non-inferiority trial.

    abstract:OBJECTIVES:To determine the therapeutic equivalence and safety of once daily (OD) versus three times daily (TID) dosing of a total daily dose of 3 g Salofalk (mesalazine) granules in patients with active ulcerative colitis. DESIGN:A randomised, double-blind, double-dummy, parallel group, multicentre, international, ph...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gut.2008.154302

    authors: Kruis W,Kiudelis G,Rácz I,Gorelov IA,Pokrotnieks J,Horynski M,Batovsky M,Kykal J,Boehm S,Greinwald R,Mueller R,International Salofalk OD Study Group.

    更新日期:2009-02-01 00:00:00

  • Effect of Helicobacter pylori eradication on development of dyspeptic and reflux disease in healthy asymptomatic subjects.

    abstract:BACKGROUND AND AIM:There are few data on the course of Helicobacter pylori infection in asymptomatic subjects. The aim of this study was to assess the effect of eradication therapy on the development of dyspeptic and gastro-oesophageal reflux disease in a cohort of asymptomatic individuals observed over a prolonged per...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.11.1543

    authors: Vaira D,Vakil N,Rugge M,Gatta L,Ricci C,Menegatti M,Leandro G,Holton J,Russo VM,Miglioli M

    更新日期:2003-11-01 00:00:00

  • Granulomatous arthritis in Crohn's disease.

    abstract::A case is described of non-necrotizing, epithelioid cell granulomatous synovitis of the ankle of a 22-year-old man with Crohn's disease. It appears to be the first published example of granulomatous arthritis in association with Crohn's disease. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.13.4.257

    authors: Lindström C,Wramsby H,Ostberg G

    更新日期:1972-04-01 00:00:00

  • Bowel function measurements of individuals with different eating patterns.

    abstract::Bowel function was assessed in 51 subjects: 10 women and seven men who habitually consumed an omnivorous, vegetarian, or vegan diet. The subjects on these diets had a mean intake of fibre of 23 g, 37 g, and 47 g respectively. Mean transit times were variable and not significantly different between the groups. Vegans, ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.2.164

    authors: Davies GJ,Crowder M,Reid B,Dickerson JW

    更新日期:1986-02-01 00:00:00

  • Cell proliferation in Helicobacter pylori associated gastritis and the effect of eradication therapy.

    abstract::Helicobacter pylori causes chronic (type B) gastritis. The 'intestinal' form of gastric cancer arises against a background of chronic gastritis, and prospective epidemiological studies have shown that H pylori is a major risk factor for this. An increase in mucosal cell proliferation increases the likelihood of a neop...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.36.3.346

    authors: Lynch DA,Mapstone NP,Clarke AM,Sobala GM,Jackson P,Morrison L,Dixon MF,Quirke P,Axon AT

    更新日期:1995-03-01 00:00:00

  • Specific probiotic therapy attenuates antibiotic induced visceral hypersensitivity in mice.

    abstract:BACKGROUND AND AIMS:Abdominal pain and discomfort are common symptoms in functional disorders and are attributed to visceral hypersensitivity. These symptoms fluctuate over time but the basis for this is unknown. Here we examine the impact of changes in gut flora and gut inflammatory cell activity on visceral sensitivi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.066100

    authors: Verdú EF,Bercik P,Verma-Gandhu M,Huang XX,Blennerhassett P,Jackson W,Mao Y,Wang L,Rochat F,Collins SM

    更新日期:2006-02-01 00:00:00

  • Treatment of 'cimetidine-resistant' chronic duodenal ulcers with ranitidine or cimetidine: a randomised multicentre study.

    abstract::Forty patients with endoscopically proven persistent duodenal ulcer who had been treated for six weeks with cimetidine (1 g/day) were randomly allocated to receive a further six weeks' treatment with cimetidine (1 g/day) or ranitidine (300 mg/day). Ulcers healed in 12 of 19 patients given cimetidine (63%) and in 13 of...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.25.10.1113

    authors: Quatrini M,Basilisco G,Bianchi PA

    更新日期:1984-10-01 00:00:00

  • Exocrine pancreatic insufficiency: accuracy and clinical value of the uniformly labelled 13C-Hiolein breath test.

    abstract:BACKGROUND AND AIMS:The 13C-Hiolein breath test (98% [U-13C] labelled long chain triglyceride mixture (highly labelled triolein) was evaluated as a non-invasive, non-radioactive test for exocrine pancreatic insufficiency. Accuracy and clinical validity were examined with reference to both the secretin pancreozymin test...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.5.668

    authors: Lembcke B,Braden B,Caspary WF

    更新日期:1996-11-01 00:00:00

  • Renal tubular dysfunction in patients with inflammatory bowel disease treated with aminosalicylate.

    abstract:BACKGROUND:An increasing number of case reports indicate potential nephrotoxicity of 5-aminosalicylic acid (5-ASA), which shares similarities with the chemical structures of both phenacetin and acetylsalicylic acid. AIM:In a point prevalence study the occurrence of sensitive indices indicative of early kidney malfunct...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.6.761

    authors: Schreiber S,Hämling J,Zehnter E,Howaldt S,Daerr W,Raedler A,Kruis W

    更新日期:1997-06-01 00:00:00

  • Comparative genomics of Crohn's disease-associated adherent-invasive Escherichia coli.

    abstract:OBJECTIVE:Adherent-invasive Escherichia coli (AIEC) are a leading candidate bacterial trigger for Crohn's disease (CD). The AIEC pathovar is defined by in vitro cell-line assays examining specific bacteria/cell interactions. No molecular marker exists for their identification. Our aim was to identify a molecular proper...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-311059

    authors: O'Brien CL,Bringer MA,Holt KE,Gordon DM,Dubois AL,Barnich N,Darfeuille-Michaud A,Pavli P

    更新日期:2017-08-01 00:00:00

  • A randomised, double blind, placebo controlled study of celecoxib, a selective cyclooxygenase 2 inhibitor, on duodenal polyposis in familial adenomatous polyposis.

    abstract:BACKGROUND:Non-selective cyclooxygenase (COX) inhibitors (non-steroidal anti-inflammatory drugs) inhibit large bowel carcinogenesis in patients with familial adenomatous polyposis (FAP). Their role in the duodenum of these patients is less certain. The disease modifying activity of specific COX-2 inhibitors has not bee...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.50.6.857

    authors: Phillips RK,Wallace MH,Lynch PM,Hawk E,Gordon GB,Saunders BP,Wakabayashi N,Shen Y,Zimmerman S,Godio L,Rodrigues-Bigas M,Su LK,Sherman J,Kelloff G,Levin B,Steinbach G,FAP Study Group.

    更新日期:2002-06-01 00:00:00

  • Evaluation of the trophic effect of longterm treatment with the histamine H2 receptor antagonist loxtidine on rat oxyntic mucosa by differential counting of dispersed cells.

    abstract::To evaluate whether the general trophic effect of gastrin on the oxyntic mucosa is an indirect effect mediated by histamine H2 receptors, sustained 24 hour hypergastrinaemia was induced in Sprague-Dawley rats by treatment with the long acting and potent histamine H2 antagonist loxtidine for five months. The trophic ef...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.11.1547

    authors: Brenna E,Swarts HG,Klaassen CH,de Pont JJ,Waldum HL

    更新日期:1994-11-01 00:00:00

  • Normal deglutitive responses of the human lower oesophageal sphincter.

    abstract::The responses to deglutition of the lower oesophageal high pressure zone were studied in 13 healthy subjects. The recording assembly included three perfused pressure recording catheters, whose recording orifices were at the same axial level, and a more distally situated pH electrode. Relaxation and contraction progres...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.13.5.352

    authors: Kaye MD,Showalter JP

    更新日期:1972-05-01 00:00:00

  • Inhibitory effect of unconjugated bile acids on the intestinal transport of 5-methyltetrahydrofolate in rat jejunum in vitro.

    abstract::The effect of the unconjugated bile acids, cholic, deoxycholic, chenodeoxycholic, and ursodeoxycholic acids, and of the conjugated bile acid taurocholic acid on the mucosal-to-serosal transport and tissue uptake of the naturally occurring folate derivative, 5-methyltetrahydrofolate (5-CH3H4PteGlu) was examined in ever...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.12.1376

    authors: Said HM,Hollander D,Strum WB

    更新日期:1984-12-01 00:00:00

  • CPT2 downregulation adapts HCC to lipid-rich environment and promotes carcinogenesis via acylcarnitine accumulation in obesity.

    abstract:OBJECTIVE:Metabolic reprogramming of tumour cells that allows for adaptation to their local environment is a hallmark of cancer. Interestingly, obesity-driven and non-alcoholic steatohepatitis (NASH)-driven hepatocellular carcinoma (HCC) mouse models commonly exhibit strong steatosis in tumour cells as seen in human st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-315193

    authors: Fujiwara N,Nakagawa H,Enooku K,Kudo Y,Hayata Y,Nakatsuka T,Tanaka Y,Tateishi R,Hikiba Y,Misumi K,Tanaka M,Hayashi A,Shibahara J,Fukayama M,Arita J,Hasegawa K,Hirschfield H,Hoshida Y,Hirata Y,Otsuka M,Tateishi K,

    更新日期:2018-08-01 00:00:00

  • HFE gene mutation (C282Y) and phenotypic expression among a hospitalised population in a high prevalence area of haemochromatosis.

    abstract:BACKGROUND:Previous studies have shown that up to 0.5% of the Caucasian population is homozygous for the HFE gene C282Y mutation. High prevalence values have been reported in Northern Europe. To what extent the presence of this mutation is associated with overt clinical haemochromatosis is unclear. AIM:To determine th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.4.575

    authors: Distante S,Berg JP,Lande K,Haug E,Bell H

    更新日期:2000-10-01 00:00:00

  • Antimitochondrial antibody negative primary biliary cirrhosis: a distinct syndrome of autoimmune cholangitis.

    abstract::This study reports on a group of 20 patients with an initial diagnosis of primary biliary cirrhosis (PBC) whose serum tested negative for antimitochondrial antibodies by immunofluorescence. All had a clinical history compatible with primary biliary cirrhosis, and results of biochemical, histological, and radiological ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.2.260

    authors: Michieletti P,Wanless IR,Katz A,Scheuer PJ,Yeaman SJ,Bassendine MF,Palmer JM,Heathcote EJ

    更新日期:1994-02-01 00:00:00