[Intestinal ischemic reperfusion syndrome: pathophysiology, clinical significance, therapy].

Abstract:

:Gut ischemia-reperfusion injury is a serious condition in intensive care patients. Activation of immune cells within the huge endothelial surface area of gut microcirculation may initiate a systemic inflammatory response with secondary injury to distant organs. Translocation of bacteria and toxins through a leaky gut mucosa may amplify or perpetuate systemic inflammation, leading to multiple organ dysfunction syndrome and death in critically ill patients. Gut ischemia promotes regional production of inflammatory mediators, expression of cell adhesion molecules on endothelial and immune cell surfaces and increases the procoagulatory properties of vascular endothelial cells. During reperfusion, gut injury may be amplified by increased production of oxygen radicals and exhaustion of endogenous antioxidant defence mechanisms. Although several therapeutic strategies to interrupt the pathophysiology of ischemia-reperfusion have been shown to be beneficial in animal experiments, none of these interventions has gained clinical relevance. After initial hemodynamic and respiratory stabilisation of critically ill patients, strategies to prevent secondary gut injury by increasing splanchnic oxygen delivery or augment mucosal cell regeneration may be the only therapeutic options for intensive medical specialists at the present time. Early enteral nutrition and treatment with specific vasoactive drugs may reduce morbidity and costs of treatment in certain critically ill patients. However definitive evidence of a reduction in mortality with these therapies has still not be provided.

journal_name

Wien Klin Wochenschr

authors

Schwarz B,Salak N,Hofstötter H,Pajik W,Knotzer H,Mayr A,Hasibeder W

subject

Has Abstract

pub_date

1999-07-30 00:00:00

pages

539-48

issue

14

eissn

0043-5325

issn

1613-7671

journal_volume

111

pub_type

杂志文章,评审
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    authors: Gerstenbrand F,Harrer-Kuhnert G,Mamoli G

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    authors: Rauch HJ,Kerl H,Kresbach H

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  • Solitary erythema migrans in children: comparison of treatment with azithromycin and phenoxymethylpenicillin.

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    authors: Arnez M,Pleterski-Rigler D,Luznik-Bufon T,Ruzić-Sabljić E,Strle F

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  • [Endocrine constellation in androgenetic alopecia in the female].

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  • [Correlation of skinfold thickness with bone density and estradiol, FSH and prolactin level in a sample of 231 women].

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    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Gruber D,Sator M,Frigo P,Knogler W,Huber JC

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  • [Geriatric aspects for the management of diabetes mellitus].

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    journal_title:Wiener klinische Wochenschrift

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    authors: Huber J,Smeikal M,Lechleitner M,Fasching P

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  • [Unusual course and site of metastases of a granulosa cell tumour (author's transl)].

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Laczkovics A

    更新日期:1977-04-29 00:00:00

  • [Infrarenal aortic aneurysm: results of surgical treatment].

    abstract::Between 1976 and 1987 93 patients with an infrarenal aortic aneurysm underwent surgical correction. In 62 patients the procedure was performed electively, whilst 13 displayed an unstable aneurysm and in 18 cases a ruptured aneurysm was present at operation. During the past 5 years the mortality was lowered to 2% in el...

    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Deutsch M,Holzinger C,Krisch B,Magometschnigg H,Fasol R,Zilla P,Schwarz C,Staudacher M

    更新日期:1989-01-20 00:00:00

  • [Radiotherapeutic methods in the management of ovarian cancer (author's transl)].

    abstract::A report is given of the therapeutic strategy and the stage-adjusted methods of irradiation in the treatment of ovarian cancer. The influence of radical surgery, irradiation and chemotherapy on survival rates is discussed and the results achieved in this unit, especially in patients admitted at a more advanced tumour ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kärcher KH

    更新日期:1980-04-25 00:00:00

  • [Future targets in the treatment of type 2 diabetes].

    abstract::Prevention and treatment of type 2 diabetes mellitus (T2DM) and the metabolic syndrome represent a major clinical challenge, because effective strategies such as fat restriction and exercise are difficult to implement into diabetes treatment. Based on the increasing knowledge on the pathogenesis of T2DM, new therapeut...

    journal_title:Wiener klinische Wochenschrift

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    doi:10.1007/BF03041051

    authors: Stingl H,Roden M

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  • [Two hundred years ago: the first smallpox vaccinations in Vienna].

    abstract::The first successful smallpox vaccination with cowpox lymph outside of England was carried out in Vienna--only ten months after the publication of Edward Jenner's book "An Inquiry into the Causes and Effects of the Variolae Vaccinae, a Disease ... known by the Name of the Cow Pox", and only a little more than three mo...

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    pub_type: 历史文章,杂志文章

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  • [Ultrasound diagnosis of nephrologic and urologic diseases in pediatrics. Report on 1000 patients].

    abstract::Urological conditions of infancy and childhood account for the largest single disease group requiring either surgical or medical intervention. This makes early detection and classification of abnormalities mandatory. This study presents an analysis of the results of ultrasonic screening in 1000 patients. Ultrasonic ex...

    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Maurer G

    更新日期:1985-01-04 00:00:00

  • [Contrast echocardiography in patients with insignificant interatrial communications (patent foramen ovale) (author's transl)].

    abstract::Peripheral M-mode contrast echocardiograms at rest and during the Valsalva manoeuvre were performed in 9 patients with haemodynamically insignificant interatrial communications. Contrast echoes appeared in the left heart in all 4 patients with elevated right ventricular pressure, but also in 3 out of the 5 patients wi...

    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Kronik G,Mösslacher H,Schmoliner R,Hutterer B

    更新日期:1980-04-11 00:00:00

  • [Use of sonography at the peripheral hospital in the diagnosis of kidney tumors].

    abstract::33 kidney tumours were detected in 15,500 routine scans of the upper abdomen. 13.7 per cent of these tumours were asymptomatic at the time of diagnosis. The size of these accidentally detected tumours was evidently smaller than in the case of symptomatic ones and the patients were younger at the time of diagnosis. The...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Drlicek G,Hayder W,Kratochwil A

    更新日期:1987-12-18 00:00:00

  • Therapy of a clear cell adenocarcinoma of unknown primary arising in the abdominal wall after cesarean section and after hysterectomy.

    abstract::Clear cell carcinoma arising in a cesarean section scar is extremely rare. Due to the rarity of the tumor, treatment strategies still need to be further elucidated. We report a case of a woman with a clear cell carcinoma of 10 cm outside the abdominal cavity in her cesarean section scar. Staging surgery revealed two l...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-014-0619-0

    authors: Aust S,Tiringer D,Grimm C,Stani J,Langer M

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    abstract:INTRODUCTION:Our purpose was to determine whether diffusion-weighted MR imaging (DWI) could be used in differentiation of benign and malign breast lesions. MATERIALS AND METHODS:41 women patients were included in the study. 45 lesions were diagnosed by biopsy; 25 (55.5%) of these lesions were malignant and 20 (44.5%) ...

    journal_title:Wiener klinische Wochenschrift

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    authors: Sonmez G,Cuce F,Mutlu H,Incedayi M,Ozturk E,Sildiroglu O,Velioglu M,Bashekim CC,Kizilkaya E

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  • [The "Asthma Programme" (author's transl)].

    abstract::The "asthma programme", the product of teamwork between the 1st Department of Dermatology and the 2nd Department of Medicine is presented. It contains all examinations necessary for the diagnosis of bronchial asthma: case history, skin test, IgE, RAST, lung function test, inhalative provocation test. The value of each...

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    pub_type: 杂志文章

    doi:

    authors: Jarisch R,Kummer F,Oppolzer R

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  • Predicting the presence of coronary artery disease by transesophageal echocardiography.

    abstract:BACKGROUND:The accuracy of ultrasound signs as predictors for the presence of coronary artery disease (CAD) has been evaluated extensively in the 1990s and 2000s. Imaging quality has improved tremendously over the last decades. HYPOTHESIS:High-end ultrasound systems allow for accurate prediction of the presence or abs...

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    doi:10.1007/s00508-020-01686-x

    authors: Schneider M,Heidari H,Ran H,Roth C,Hengstenberg C,Binder T,Goliasch G

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  • [Botulinum toxin type A in the treatment plan for cerebral palsy].

    abstract::Over the past decade a number of placebo-controlled studies have confirmed that intramuscular injections of botulinum toxin A (BTX A) has antispastic effects. Cerebral palsy is among the most frequent disorders of the growing locomotor apparatus during childhood. Weakness as well as spasticity due to lack of selective...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Strobl W

    更新日期:2001-01-01 00:00:00

  • [Human atrial natriuretic peptide: a secretory product of the heart and its significance for physiology and clinical practice].

    abstract::This review deals with the physiological and clinical importance of human atrial natriuretic peptide (hANP). This peptide, which is produced by the myocardial cells of the right atrium, induces a diuretic and natriuretic response and has an inhibitory effect on aldosterone secretion. Recent elucidation of the peptide'...

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    pub_type: 杂志文章

    doi:

    authors: Vierhapper H,Waldhäusl W

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  • [Diagnostic problems in massive adrenal haemorrhage in the newborn (author's transl)].

    abstract::Massive adrenal haemorrhage in the newborn frequently presents as an abdominal mass and is difficult to diagnose when this is the sole clinical feature. Surgery is indicated for the diagnosis and treatment of those cases in which a malignant tumour cannot be ruled out from the X-ray appearance with certainty. 3 cases ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Enayat U,Wendler H,Hubmer G

    更新日期:1975-10-03 00:00:00

  • Effects of resistance exercise in prostate cancer patients : A systematic review update as of March 2020.

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    journal_title:Wiener klinische Wochenschrift

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    abstract:BACKGROUND:Down syndrome is the most commonly occurring chromosomal condition with a prevalence of 11.2-10000 life-births in Europe. The most important concern consists of various degrees of intellectual disability and sensory deficits. The overall prevalence of ophthalmologic abnormalities has been reported to be as h...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

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    authors: Dressler A,Bozza M,Perelli V,Tinelli F,Guzzetta A,Cioni G,Bargagna S

    更新日期:2015-08-01 00:00:00

  • [The influence of metabolic control on chemotactic activity in insulin-dependent diabetes mellitus (author's transl)].

    abstract::An increased incidence of infections, especially during periods of poor metabolic control is well known in patients with insulin-dependent diabetes mellitus. Therefore, we studied polymorphonuclear chemotaxis and its dependence on the degree of diabetic control in 49 patients with insulin-dependent diabetes mellitus i...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Endler AT,Zielinski C,Schernthaner G,Ludwig H

    更新日期:1978-10-27 00:00:00

  • [Cellular regulation of anabolism and catabolism in skeletal muscle during immobilisation, aging and critical illness].

    abstract::Skeletal muscle atrophy is associated with situations of acute and chronical illness, such as sepsis, surgery, trauma and immobility. Additionally, it is a common problem during the physiological process of aging. The myofibrillar proteins myosin and actin, which are essential for muscle contraction, are the major tar...

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    pub_type: 杂志文章,评审

    doi:10.1007/s00508-007-0817-0

    authors: Strasser EM,Wessner B,Roth E

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  • [Reoperation on the biliary tract (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Doberauer B,Klöss J,Kühlmayer R

    更新日期:1979-04-13 00:00:00

  • Influences of hydrocortisone therapy on arginine vasopressin plasma levels in septic shock.

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    doi:10.1007/s00508-011-1568-5

    authors: Jochberger S,Dünser MW

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