Platelet function in fulminant hepatic failure and effect of charcoal haemoperfusion.

Abstract:

:In 34 patients with fulminant hepatic failure, platelets, in addition to being reduced in numbers, were smaller than those of healthy controls. In keeping with this, capillary bleeding times were significantly longer than could be accounted for by reduction in numbers alone. In a small group of these patients use of charcoal haemoperfusion for temporary liver support produced a doubling of the capillary bleeding time despite only a small drop in arterial platelet counts. This disproportionate prolongation of bleeding time was almost certainly caused by the loss of larger platelets in the charcoal columns during perfusion, as the mean median volume also fell during perfusion. Rises in screen filtration pressure of blood leaving the columns were found during some perfusions and thought to be indicative of platelet aggregates. Release of vasoactive substances from platelets could account for the hypotension often found at this time.

journal_name

Gut

journal_title

Gut

authors

Weston MJ,Langley PG,Rubin MH,Hanid MA,Mellon P,Williams R

doi

10.1136/gut.18.11.897

subject

Has Abstract

pub_date

1977-11-01 00:00:00

pages

897-902

issue

11

eissn

0017-5749

issn

1468-3288

journal_volume

18

pub_type

杂志文章

相关文献

GUT文献大全
  • Sex-specific effects of TLR9 promoter variants on spontaneous clearance of HCV infection.

    abstract:OBJECTIVE:As pathogen sensors, Toll-like receptors (TLR) play a role in the first defence line during HCV infection. However, the impact of the DNA sensor TLR9 on the natural course of HCV infection is unknown. To address this, TLR9 promoter polymorphisms (single nucleotide polymorphisms (SNPs)) rs187084 and rs5743836 ...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2015-310239

    authors: Fischer J,Weber ANR,Böhm S,Dickhöfer S,El Maadidi S,Deichsel D,Knop V,Klinker H,Möller B,Rasenack J,Wang L,Sharma M,Hinrichsen H,Spengler U,Buggisch P,Sarrazin C,Pawlita M,Waterboer T,Wiese M,Probst-Müller E,Malin

    更新日期:2017-10-01 00:00:00

  • The role of heat shock proteins in gastrointestinal diseases.

    abstract::Heat shock proteins (HSPs) are a highly conserved family of proteins which inhabit almost all subcellular locations and cellular membranes. Depending on their location, these proteins perform a variety of chaperoning functions including folding of newly synthesised polypeptides. HSPs also play a major role in the prot...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2007.140194

    authors: Dudeja V,Vickers SM,Saluja AK

    更新日期:2009-07-01 00:00:00

  • Impact of surveillance for Barrett's oesophagus on tumour stage and survival of patients with neoplastic progression.

    abstract:OBJECTIVE:Endoscopic surveillance for Barrett's oesophagus (BO) is under discussion given the overall low incidence of neoplastic progression and lack of evidence that it prevents advanced oesophageal adenocarcinoma (OAC). The aim of this study was to evaluate the impact of endoscopic BO surveillance on tumour stage an...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gutjnl-2014-308802

    authors: Kastelein F,van Olphen SH,Steyerberg EW,Spaander MC,Bruno MJ,ProBar-Study Group.

    更新日期:2016-04-01 00:00:00

  • CO(2) wedged hepatic venography in the evaluation of portal hypertension.

    abstract:BACKGROUND/AIMS/METHODS:During hepatic vein catheterisation, in addition to measurement of hepatic venous pressure gradient (HVPG), iodine wedged retrograde portography can be easily obtained. However, it rarely allows correct visualisation of the portal vein. Recently, CO(2) has been suggested to allow better angiogra...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.6.856

    authors: Debernardi-Venon W,Bandi JC,García-Pagán JC,Moitinho E,Andreu V,Real M,Escorsell A,Montanyá X,Bosch J

    更新日期:2000-06-01 00:00:00

  • Development of biliary sludge in patients on intensive care unit: results of a prospective ultrasonographic study.

    abstract::Biliary sludge may be a precursor of gall stones in man. The aim of this study was to determine the incidence of biliary sludge in a prospective study of 36 patients admitted to the intensive care unit for longer than two days. The presence of biliary sludge was determined by ultrasonography. Biliary sludge developed ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.8.1123

    authors: Murray FE,Stinchcombe SJ,Hawkey CJ

    更新日期:1992-08-01 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

  • Intestinal perfusion studies in tropical sprue. 2. Movement of water and electrolytes.

    abstract::Jejunal absorption of sodium and water has been investigated in 10 normal Indians and 11 patients with chronic tropical sprue. Normal saline and solutions containing amino acids and dipeptides were studied. In both groups little absorption of sodium and water from normal saline was seen. Mean water and sodium absorpti...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.6.480

    authors: Hellier MD,Bhat P,Albert J,Baker SJ

    更新日期:1977-06-01 00:00:00

  • Intramucosal adenocarcinoma arising under squamous re-epithelialisation of Barrett's oesophagus.

    abstract:BACKGROUND:Eradication of Barrett's mucosa by thermal or photoablation combined with high doses of proton pump inhibitors is a potentially attractive strategy in the management of this preneoplastic condition. However, major concerns of this method are the persistence of residual metaplastic glands beneath the new squa...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.4.574

    authors: Van Laethem JL,Peny MO,Salmon I,Cremer M,Devière J

    更新日期:2000-04-01 00:00:00

  • Jejunal water and electrolyte secretion induced by L-arginine in man.

    abstract::In this study a perfusion technique has been used to investigate jejunal secretion in response to the dibasic amino acid L-arginine. L-arginine at 5, 15, and 40 mmol/l in isotonic saline solutions induced net intestinal secretion of water and Na+. The structurally similar dibasic amino acid L-lysine caused net absorpt...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.2.108

    authors: Hegarty JE,Fairclough PD,Clark ML,Dawson AM

    更新日期:1981-02-01 00:00:00

  • Aminoacid constitution of two gastrins isolated from Zollinger-Ellison tumour tissue.

    abstract::Two peptides which are potent stimulants of gastric acid secretion are isolated from Zollinger-Ellison tumour tissue. They have aminoacid constitutions identical with those of human gastrin types I and II as isolated from human antral mucosa, and they are present in similar proportions. Their electrophoretic and chrom...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.8.603

    authors: Gregory RA,Tracy HJ,Agarwal KL,Grossman MI

    更新日期:1969-08-01 00:00:00

  • Pepsin in saliva for the diagnosis of gastro-oesophageal reflux disease.

    abstract:OBJECTIVE:Current diagnostic methods for gastro-oesophageal reflux disease (GORD) have moderate sensitivity/specificity and can be invasive and expensive. Pepsin detection in saliva has been proposed as an 'office-based' method for GORD diagnosis. The aims of this study were to establish normal values of salivary pepsi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2014-307049

    authors: Hayat JO,Gabieta-Somnez S,Yazaki E,Kang JY,Woodcock A,Dettmar P,Mabary J,Knowles CH,Sifrim D

    更新日期:2015-03-01 00:00:00

  • Cerebral processing of painful oesophageal stimulation: a study based on independent component analysis of the EEG.

    abstract:BACKGROUND AND AIMS:Independent component analysis (ICA) of the electroencephalogram (EEG) overcomes many of the classical problems in EEG analysis. We used ICA to determine the brain responses to painful stimulation of the oesophagus. METHODS:Twelve subjects with a median age of 41 years were included. With a nasal e...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.2005.068460

    authors: Drewes AM,Sami SA,Dimcevski G,Nielsen KD,Funch-Jensen P,Valeriani M,Arendt-Nielsen L

    更新日期:2006-05-01 00:00:00

  • Effect of intraluminal oxygen on experimental ischaemia of the intestine.

    abstract::The small bowel of 44 rats has been made ischaemic for 120 minutes by occluding the superior mesenteric artery. Gaseous oxygen was introduced into the small bowel lumen of 18 of the rats, and gaseous nitrogen into the bowel lumen of a further eight, 30 minutes after the start of the ischaemia. The mortality rate of th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.17.12.1001

    authors: Shute K

    更新日期:1976-12-01 00:00:00

  • Absorption of sodium and water by human rectum measured by a dialysis method.

    abstract::A dialysis method for the study of intestinal absorption is described. Its use has been assessed in animals and normal human subjects and it has been applied to the measurement of rectal transport of sodium and water.When the luminal solution was of high sodium concentration (145 m-equiv/1), the sodium influx rate (lu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.5.356

    authors: Edmonds CJ

    更新日期:1971-05-01 00:00:00

  • Treatment of patients with dual hepatitis C and B by peginterferon α and ribavirin reduced risk of hepatocellular carcinoma and mortality.

    abstract:OBJECTIVE:Whether peginterferon α and ribavirin combination therapy reduces risk of hepatocellular carcinoma (HCC) or improves survival in patients dual-infected with hepatitis C virus (HCV) and hepatitis B virus (HBV) is unknown. Since it is ethically impossible to conduct a randomised trial to learn the long-term eff...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-304370

    authors: Liu CJ,Chu YT,Shau WY,Kuo RN,Chen PJ,Lai MS

    更新日期:2014-03-01 00:00:00

  • Age and Helicobacter pylori decrease gastric mucosal surface hydrophobicity independently.

    abstract:BACKGROUND:Gastric mucosal surface hydrophobicity (GMSH) is an essential component of the mucosal defence system that is decreased by Helicobacter pylori and non-steroidal anti-inflammatory drugs (NSAIDs). Gastric ulcers occur predominantly in elderly subjects, and may thus reflect diminished mucosal resistance. AIMS:...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.4.465

    authors: Hackelsberger A,Platzer U,Nilius M,Schultze V,Günther T,Dominguez-Muñoz JE,Malfertheiner P

    更新日期:1998-10-01 00:00:00

  • ACTH-secreting 'apudoma' of gallbladder.

    abstract::The case of a 44-year-old woman is reported. The diagnosis after the appropriate tests and laparotomy was ACTH-secreting 'apudoma' of the gallbladder. This is a rare tumour and this case is believed to be the first reported of an ectopic hormone producing tumour from this side. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.6.473

    authors: Spence RW,Burns-Cox CJ

    更新日期:1975-06-01 00:00:00

  • Glutathione peroxidase 7 protects against oxidative DNA damage in oesophageal cells.

    abstract:OBJECTIVE:Exposure of the oesophageal mucosa to gastric acid and bile acids leads to the accumulation of reactive oxygen species (ROS), a known risk factor for Barrett's oesophagus and progression to oesophageal adenocarcinoma (OAC). This study investigated the functions of glutathione peroxidase 7 (GPX7), frequently s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-301078

    authors: Peng D,Belkhiri A,Hu T,Chaturvedi R,Asim M,Wilson KT,Zaika A,El-Rifai W

    更新日期:2012-09-01 00:00:00

  • Lymphocytic gastritis and Helicobacter pylori infection in gastric lymphoma.

    abstract::Lymphocytic gastritis and primary gastric lymphoma are rare conditions with unknown aetiology. It has recently been suggested that Helicobacter pylori has a role in the pathogenesis of both of them. The occurrence of lymphocytic gastritis and H pylori was studied in a series of patients with primary gastric lymphoma. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.4.471

    authors: Miettinen A,Karttunen TJ,Alavaikko M

    更新日期:1995-10-01 00:00:00

  • Prostaglandin E2 formation by the gall bladder in experimental cholecystitis.

    abstract::Both experimental cholecystitis and luminal distension inhibit fluid absorption and stimulate motor activity in the gall bladder. These functional alterations are mimicked by exogenous prostaglandins (PGs) and inhibited by potent cyclooxygenase inhibitors, but direct evidence of a primary role of endogenous PGs is not...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.4.370

    authors: Thornell E,Jivegård L,Bukhave K,Rask-Madsen J,Svanvik J

    更新日期:1986-04-01 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

  • The cardiac sphincter in the cat.

    abstract::A study of the function of the lower end of the oesophagus in the cat confirms that it behaves as a true physiological sphincter, even though histological evidence for such a structure is absent. Sphincteric action is a function of the circular muscle fibres in the lowest 2 cm. of the oesophagus. Reflex changes in ton...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2.3.252

    authors: CLARK CG,VANE JR

    更新日期:1961-09-01 00:00:00

  • Helicobacter pylori eradication induces marked increase in H+/K+-adenosine triphosphatase expression without altering parietal cell number in human gastric mucosa.

    abstract:BACKGROUND AND AIMS:Gastric acid secretion is downregulated by Helicobacter pylori infection and upregulated after its eradication, but the mechanisms are still unclear. We examined the effects of H pylori eradication on the number of parietal cells and on expression of molecules functioning in acid secretion in the hu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.066464

    authors: Osawa H,Kita H,Ohnishi H,Hoshino H,Mutoh H,Ishino Y,Watanabe E,Satoh K,Sugano K

    更新日期:2006-02-01 00:00:00

  • Homeostatic regulation of zinc transporters in the human small intestine by dietary zinc supplementation.

    abstract:BACKGROUND:The role of intestinal transporter regulation in optimising nutrient absorption has been studied extensively in rodent and cell line models but not in human subjects. AIMS:The aim of the present study was to investigate the response in vivo of zinc transporters in the human enterocyte to dietary zinc supple...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.2004.041962

    authors: Cragg RA,Phillips SR,Piper JM,Varma JS,Campbell FC,Mathers JC,Ford D

    更新日期:2005-04-01 00:00:00

  • Lipid peroxidation in rats chronically fed ethanol.

    abstract::Chronic alcohol consumption induces cytochrome P450IIE1, enabling habitual abusers to consume far greater quantities of alcohol than normal subjects. This pathway of metabolism leads to the production of free radical species, which cause tissue damage through peroxidation of cell membranes. Groups of Wistar rats of eq...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.11.1644

    authors: Teare JP,Greenfield SM,Watson D,Punchard NA,Miller N,Rice-Evans CA,Thompson RP

    更新日期:1994-11-01 00:00:00

  • Narrow band imaging for colonoscopic surveillance in hereditary non-polyposis colorectal cancer.

    abstract:BACKGROUND:Colonoscopic surveillance for hereditary non-polyposis colorectal cancer (HNPCC) reduces death rates, but early interval cancers still occur, probably due to missed small, aggressive adenomas. Narrow band imaging (NBI), a novel endoscopic technology, highlights superficial mucosal capillaries and improves co...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.128926

    authors: East JE,Suzuki N,Stavrinidis M,Guenther T,Thomas HJ,Saunders BP

    更新日期:2008-01-01 00:00:00

  • Critical research gaps and recommendations to inform research prioritisation for more effective prevention and improved outcomes in colorectal cancer.

    abstract:OBJECTIVE:Colorectal cancer (CRC) leads to significant morbidity/mortality worldwide. Defining critical research gaps (RG), their prioritisation and resolution, could improve patient outcomes. DESIGN:RG analysis was conducted by a multidisciplinary panel of patients, clinicians and researchers (n=71). Eight working gr...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2017-315333

    authors: Lawler M,Alsina D,Adams RA,Anderson AS,Brown G,Fearnhead NS,Fenwick SW,Halloran SP,Hochhauser D,Hull MA,Koelzer VH,McNair AGK,Monahan KJ,Näthke I,Norton C,Novelli MR,Steele RJC,Thomas AL,Wilde LM,Wilson RH,Tomlins

    更新日期:2018-01-01 00:00:00

  • Effect of calcium, magnesium and sodium ions on in vitro nucleation of human gall bladder bile.

    abstract::The effect of increasing the calcium, magnesium and sodium concentration in gall bladder bile samples from 21 patients with gall stones and nine controls on the in vitro rate of formation of cholesterol microcrystals and numbers of cholesterol microcrystals formed was examined. Addition of these cations to raise the m...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.5.665

    authors: Neithercut WD

    更新日期:1989-05-01 00:00:00

  • Gastric emptying of two radiolabelled antacids.

    abstract::The rate of gastric emptying of two antacids, magaldrate and Maalox, was investigated using scintigraphy. Successful labelling of the antacids was carried out with 99mTc. The stability of the 99mTc-labelled antacids was satisfactory and there was no difference in antacid capacity between the labelled and unlabelled an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.2.147

    authors: Monés J,Carrió I,Roca M,Estorch M,Calabuig R,Sainz S,Martinez-Duncker C,Vilardell F

    更新日期:1991-02-01 00:00:00

  • Expression of mutant p53 protein in hepatocellular carcinoma.

    abstract::p53 mutations are a common genetic finding in hepatocellular carcinoma from areas of high aflatoxin exposure. Recent small studies have shown that p53 gene mutations may be less common in areas with a low prevalence of hepatocellular carcinoma such as Great Britain. The protein product of mutant p53 can be detected im...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.1.98

    authors: Collier JD,Carpenter M,Burt AD,Bassendine MF

    更新日期:1994-01-01 00:00:00