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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1998-8-20
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pubmed:abstractText |
Peritoneal adhesions are a leading cause of potential morbidity and mortality. We undertook this prospective study to determine the clinical relevance of interleukin 1 (IL-1) and tumor necrosis factor alpha (TNF-alpha) levels as biological markers for peritoneal adhesion formation in humans. Fifteen patients who had previous colectomies and were undergoing re-exploration for an elective vascular procedure were studied. Blood samples were collected from each patient preoperatively and 30 minutes after the abdominal incision was made. Serum levels of IL-1 and TNF-alpha were determined using enzyme-linked immunosorbent assay kits. Adhesions were graded using an adhesion scale of 0 (none), 1 (mild), 2 (moderate), and 3 (extensive, dense). Preoperative levels of IL-1 and TNF-alpha did not differ significantly among all patients (IL-1 level was 60 +/- 14 pg/mL, and TNF-alpha level was 45 +/- 11 pg/mL; mean +/- standard deviation). Significant correlation was observed between grades of adhesions and early intraoperative levels of IL-1 [101 +/- 36 pg/mL for grade 1 (n = 8) vs 298 +/- 73 pg/mL for grade 3 (n = 6); P < 0.01] and TNF-alpha (88 +/- 23 pg/mL for grade 1 vs 261 +/- 88 mL for grade 3; P < 0.02). We conclude that early elevations of IL-1 and TNF-alpha are reliable biological markers for postoperative adhesions in humans. Studies utilizing cytokines antibodies to these markers may further elucidate the efficacy of this method for prevention of peritoneal adhesions.
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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:month |
Aug
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pubmed:issn |
0003-1348
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
64
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
734-6; discussion 737
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:9697902-Abdomen,
pubmed-meshheading:9697902-Aged,
pubmed-meshheading:9697902-Aged, 80 and over,
pubmed-meshheading:9697902-Biological Markers,
pubmed-meshheading:9697902-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:9697902-Female,
pubmed-meshheading:9697902-Humans,
pubmed-meshheading:9697902-Interleukin-1,
pubmed-meshheading:9697902-Male,
pubmed-meshheading:9697902-Middle Aged,
pubmed-meshheading:9697902-Peritoneal Diseases,
pubmed-meshheading:9697902-Postoperative Complications,
pubmed-meshheading:9697902-Prospective Studies,
pubmed-meshheading:9697902-Tissue Adhesions,
pubmed-meshheading:9697902-Tumor Necrosis Factor-alpha
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pubmed:year |
1998
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pubmed:articleTitle |
Serum levels of interleukin 1 and tumor necrosis factor alpha correlate with peritoneal adhesion grades in humans after major abdominal surgery.
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pubmed:affiliation |
Department of Surgery, North Oakland Medical Centers, Pontiac, Michigan 48341, USA.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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