Bile infection documented as initial event in the pathogenesis of brown pigment biliary stones

Francesco M. Cetta – 1 May 1986 – Findings in two patients having brown pigment bile stones, recurrent 18 and 36 months after cholecystectomy, are reported. Present data suggest that bile infection precedes rather than follows the formation of brown stones. The present data are part of a prospective study of 600 consecutive patients who underwent operation for gallstones and in whom clinical and laboratory findings, intra‐ and postoperative bile culture and bile pH were related to the analysis of stone composition by X‐ray diffractometry and infrared spectroscopy.

Incarcerate free radicals

D. Neil Granger, Dale A. Parks – 1 May 1986 – We have investigated the possible protective effect of superoxide dismutase and allopurinol in a rat model of mild and severe hepatic necrosis produced by Corynebacterium parvum with or without endotoxin. Histology showed a sinusoidal mononuclear cell infiltrate with multiple granulomata but variable degrees of hepatic necrosis. In the severe hepatic injury model there was a reduction in mortality, associated with a decrease in histologic and biochemical evidence of hepatic necrosis, after treatment with superoxide dismutase.

A dot‐immunobinding assay for antimitochondrial antibodies

Edward Penner, Hans Goldenberg, Siegfried Meryn, Julian Gordon – 1 May 1986 – A dot‐immunobinding assay was established for the detection of antimitochondrial antibodies. Nitrocellulose strips were coated with sonicated rat liver mitochondria and incubated in the presence of human sera. The resulting immune complexes were visualized with an enzyme‐linked second antibody. Antimitochondrial antibodies were found in the sera of 96% of patients with primary biliary cirrhosis, 17% of patients with autoimmune hepatitis and 4% of patients with progressive systemic sclerosis.

Relationships between 34 HLA‐A, HLA‐B and HLA‐DR antigens and three serological markers of viral infections in alcoholic cirrhosis

Michel Doffoel, Marie M. Tongio, Jean‐Pierre Gut, Guy Ventre, Alain Charrault, Denis Vetter, Marc Ledig, Marie L. North, Simone Mayer, René Bockel – 1 May 1986 – In order to study the genetic risk of alcoholic cirrhosis, the frequency of 26 HLA‐A and ‐B antigens was compared in 184 normal controls, 175 alcoholic cirrhotic patients and 83 alcoholic patients with hepatic steatosis of carefully selected ethnic origin. Eight HLA‐DR antigens were also determined in 95 subjects of the normal control group and 63 patients of the alcoholic cirrhosis group.

Hemodynamic studies in long‐ and short‐term portal hypertensive rats: The relation to systemic glucagon levels

Emanuel Sikuler, Roberto J. Groszmann – 1 May 1986 – It is not known whether the hyperdynamic state which has been observed in several experimental models and in patients with portal hypertension reflects a temporary phase during the evolution of the portal hypertensive syndrome or is an expression of a permanent steady state. A hemodynamic study was performed in a group of rats with long‐standing portal hypertension induced by portal vein constriction performed 6.2 ± 0.1 months earlier.

Frequency and significance of tumor thrombi in esophageal varices in hepatocellular carcinoma associated with cirrhosis

Masahiro Arakawa, Masayoshi Kage, Shin‐Ichi Matsumoto, Yasuhisa Akagi, Takemi Noda, Kazunori Fukuda, Toshiro Nakashima, Kunio Okuda – 1 May 1986 – Histological examination of the wall of the stomach and esophagus in patients with hepatocellular carcinoma associated with cirrhosis demonstrated intravariceal tumor thrombi in 13 (23.6%) of 55 cases studied. There were distant hematogenous metastases in 31 of them, of whom 12 (38.7%) had variceal tumor thrombi. Tumor thrombi were of varying sizes, and tumor cells appeared either intact, degenerated or necrotic.

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