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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1993-9-14
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pubmed:abstractText |
Serum delta-bilirubin measured in relationship to total bilirubin could be a liver function test in hepatobiliary diseases and even a marker of early rejection after liver transplantation. Delta-bilirubin bound to albumin constitutes with mono and diglucuroconjugates, conjugated bilirubins. We determined the delta-bilirubin/conjugated bilirubins ratio and studied its value in various complications in 16 liver recipients. The results were compared with alanine aminotransferase activity and prothrombin index. Hyperbilirubinemia and a delta-bilirubin/conjugated bilirubins ratio lower than 40% were observed initially. After 15 days, the delta-bilirubin/conjugated bilirubins ratio evolved differently according to the functional state of the graft, which allowed to distinguish three patient groups: in patients with good graft function, the ratio increased regularly to reach 65% or more on the 30th day; in patients with dysfunctional episodes, the ratio was always less than or equal to 40% and did not increase after the 15th day; in other patients, the ratio was lower than 40% and dropped suddenly before death. After liver transplantation, the delta-bilirubin/conjugated bilirubins ratio may be a simple liver function marker. Alone, however, it cannot be used to assess acute rejection.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0399-8320
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
370-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8349073-Adult,
pubmed-meshheading:8349073-Alanine Transaminase,
pubmed-meshheading:8349073-Bilirubin,
pubmed-meshheading:8349073-Female,
pubmed-meshheading:8349073-Graft Rejection,
pubmed-meshheading:8349073-Humans,
pubmed-meshheading:8349073-Liver Transplantation,
pubmed-meshheading:8349073-Male,
pubmed-meshheading:8349073-Middle Aged,
pubmed-meshheading:8349073-Postoperative Care,
pubmed-meshheading:8349073-Postoperative Complications,
pubmed-meshheading:8349073-Prothrombin,
pubmed-meshheading:8349073-Time Factors
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pubmed:year |
1993
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pubmed:articleTitle |
[Evolution of delta bilirubin/conjugated bilirubins ratio in serum after live transplantation].
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pubmed:affiliation |
Laboratoire de Biochimie A, Hôpital Cochin, Paris.
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pubmed:publicationType |
Journal Article,
English Abstract
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