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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1996-8-29
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pubmed:abstractText |
Forty patients with acute calculous cholangitis had successful endoscopic drainage. Bile from nasobiliary drains and venous blood was collected at 0, 12, 24, 36 and 48 h after endoscopy. Endotoxin levels were measured by the chromogenic Limulus Amoebocyte Lysate assay. There was a significant reduction in both bile and serum endotoxin levels after endoscopic drainage (P < 0.001). Endotoxaemia occurred when bile endotoxin reached 10(3) EU/ml and rose exponentially beyond this threshold. Significant association was demonstrated between both bile and serum endotoxins to the clinical features of cholangitis (P < 0.05). No correlation was evident between serum endotoxin and the parameters of white cell count, serum bilirubin and alkaline phosphatase (r = 0.53, 0.00 and 0.00 respectively). Endoscopic drainage is effective in lowering bile and serum endotoxin levels and clinical signs and symptoms reliably predict endotoxaemia.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0007-1323
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
181-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8689158-Acute Disease,
pubmed-meshheading:8689158-Adult,
pubmed-meshheading:8689158-Aged,
pubmed-meshheading:8689158-Aged, 80 and over,
pubmed-meshheading:8689158-Bile,
pubmed-meshheading:8689158-Cholangitis,
pubmed-meshheading:8689158-Cholelithiasis,
pubmed-meshheading:8689158-Drainage,
pubmed-meshheading:8689158-Endoscopy, Digestive System,
pubmed-meshheading:8689158-Endotoxins,
pubmed-meshheading:8689158-Escherichia coli,
pubmed-meshheading:8689158-Female,
pubmed-meshheading:8689158-Humans,
pubmed-meshheading:8689158-Male,
pubmed-meshheading:8689158-Middle Aged,
pubmed-meshheading:8689158-Toxemia
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pubmed:year |
1996
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pubmed:articleTitle |
Endoscopic drainage aborts endotoxaemia in acute cholangitis.
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pubmed:affiliation |
Department of Surgery, Chinese University of Hong Kong.
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pubmed:publicationType |
Journal Article
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