The effect of large volume paracentesis on plasma volume—A cause of hypovolemia?

Henry W. Kao, Neal E. Rakov, Evelyn Savage, Telfer B. Reynolds – 1 May 1985 – Large volume paracentesis, while effectively relieving symptoms in patients with tense ascites, has been generally avoided due to reports of complications attributed to an acute reduction in intravascular volume. Measurements of plasma volume in these subjects have been by indirect methods and have not uniformly confirmed hypovolemia.

Hepatic clearance of rat liver aspartate aminotransferase isozymes: Evidence for endocytotic uptake via different binding sites on sinusoidal liver cells

Seikoh Horiuchi, Yukio Kamimoto, Yoshimasa Morino – 1 May 1985 – Rat liver aspartate aminotransferase (AAT) (EC 2.6.1.1) exists in two isozymic forms, cytosolic (c‐AAT) and mitochondrial (m‐AAT). The previous study (Kamimoto, Y. et al., Hepatology an accompanying paper in this issue) demonstrated that these isozymes were cleared from blood at different half‐lives via adsorptive endocytosis by sinusoidal liver cells. To understand the cellular mechanism for the differential uptake of the isozymes, we have further studied in vivo uptake of 125I‐labeled AAT isozymes by sinusoidal cells.

Cefotaxime is more effective than is ampicillin‐tobramycin in cirrhotics with severe infections

Josefina Felisart, Antoni Rimola, Vicente Arroyo, Rosa M. Perez‐Ayuso, Enrique Quintero, Pere Gines, Joan Rodes – 1 May 1985 – We compared the effectiveness and incidence of nephrotoxicity of ampicillin‐tobramycin and cefotaxime in 73 cirrhotics who had severe bacterial infection. Most of these patients had spontaneous peritonitis and/or bacteremia. Patients were randomly allocated into two groups. Group I included 36 patients treated with ampicillin‐tobramycin and Group II comprised 37 patients treated with cefotaxime.

Portal pressure, presence of gastroesophageal varices and variceal bleeding

Guadalupe Garcia‐Tsao, Roberto J. Groszmann, Rosemarie L. Fisher, Harold O. Conn, Colin E. Atterbury, Morton Glickman – 1 May 1985 – This study was performed to examine the relationships between portal pressure measurements and the presence of esophagogastric varices, the size of varices and the occurrence of hemorrhage from varices in 93 patients with alcoholic cirrhosis, using standardized measurements of portal pressure by hepatic vein catheterization.

Biliary and urinary excretion of sulfated, glucuronidated and tetrahydroxylated bile acids in cirrhotic patients

Adolf Stiehl, Richard Raedsch, Gerda Rudolph, Ursula Gundert‐Remy, Martin Senn – 1 May 1985 – In patients with hepatobiliary diseases, considerable amounts of sulfated and glucuronidated bile acids are excreted in urine. Information on the biliary excretion of these compounds is lacking. We used an intestinal perfusion method to determine the biliary excretion of sulfated and glucuronidated bile acids in eight patients with alcoholic cirrhosis and moderately severe cholestasis and compared results with urinary excretion rates.

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