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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1995-11-20
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pubmed:abstractText |
To characterize the changes in perioperative plasma granulocyte colony-stimulating factor (G-CSF) and analyze the effect of surgical stress on its kinetics, 41 patients undergoing gastrointestinal surgery with varying degrees of surgical stress were examined. The plasma levels of G-CSF significantly increased immediately after the operation, probably in response to surgical injury. This elevation was much higher in the 15 esophagectomy patients, at 883 +/- 300 pg/ml on postoperative day (POD) O, than in the 14 gastrectomy patients, with a value of 233 +/- 151 on POD O, (P < 0.01) or in the 12 cholecystectomy patients, with a value of 64 +/- 41 on POD 1 (P < 0.01). These findings led us to conclude that G-CSF levels increase significantly in the immediate postoperative period and are most likely associated with the degree of surgical stress. In addition, we studied the priming effect of G-CSF on polymorphonuclear leukocytes (PMNs). G-CSF enhanced PMN superoxide anion (O2-) production and luminol-dependent chemiluminescence (CL) induced by opsonized zymosan in a dose-dependent manner. A significant enhancement was seen in the G-CSF level (1 ng/ml) which was almost the same as the maximum G-CSF level in the esophagectomy patients. Furthermore, postoperative PMN activation occurred after the elevation of plasma G-CSF. Thus, we propose that elevated G-CSF may act as one of the mediators which activate PMN function postoperatively.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0941-1291
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
579-84
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:7549267-Aged,
pubmed-meshheading:7549267-Cholecystectomy,
pubmed-meshheading:7549267-Digestive System Surgical Procedures,
pubmed-meshheading:7549267-Esophagectomy,
pubmed-meshheading:7549267-Female,
pubmed-meshheading:7549267-Gastrectomy,
pubmed-meshheading:7549267-Granulocyte Colony-Stimulating Factor,
pubmed-meshheading:7549267-Humans,
pubmed-meshheading:7549267-Male,
pubmed-meshheading:7549267-Middle Aged,
pubmed-meshheading:7549267-Neutrophils,
pubmed-meshheading:7549267-Stress, Physiological
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pubmed:year |
1995
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pubmed:articleTitle |
Association between elevated plasma granulocyte colony-stimulating factor and the degree of surgical stress in patients undergoing gastrointestinal surgery.
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pubmed:affiliation |
Second Department of Surgery, Tohoku University School of Medicine, Sendai, Japan.
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pubmed:publicationType |
Journal Article
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