Urinary trypsin inhibitor attenuates liver enzyme elevation after liver resection
| Autor: | Sang Hyun Kwak, Seongheon Lee, Cheol-Won Jeong, Hye Jin Jeung, Cha-Sup Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Bilirubin medicine.medical_treatment Urinary system retrospective study Aspartate transaminase Gastroenterology lcsh:RD78.3-87.3 chemistry.chemical_compound hepatectomy Internal medicine medicine liver function test Clinical Research Article ulinastatin biology medicine.diagnostic_test business.industry Ulinastatin medicine.disease Surgery Anesthesiology and Pain Medicine chemistry Alanine transaminase lcsh:Anesthesiology biology.protein Pancreatitis Hepatectomy business Liver function tests |
| Zdroj: | Korean Journal of Anesthesiology, Vol 63, Iss 2, Pp 120-123 (2012) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | BACKGROUND: Urinary trypsin inhibitors (UTI) have been widely used for the treatment of diseases including disseminated intravascular coagulation, shock, and pancreatitis. Since UTI synthesis is likely to be reduced in patients who have undergone liver resection, the incidence of inflammatory reactions may be increasing accordingly. For such patients, the liver enzyme increases after the operation can reflect liver damage. The purpose of this study was to examine if ulinastatin can inhibit liver enzyme increases after liver resection. METHODS: After receiving Institutional Review Board approval, a retrospective chart review was performed on 201 patients who underwent hepatic resection from 2006 to 2010. We divided the records into the control (n = 69) and ulinastatin (n = 132) groups according to the use of intraoperative ulinastatin and compared the preoperative and postoperative laboratory test results. The number of patients who had > 400 U/L elevation of aspartate transaminase (AST) level after surgery was compared between the 2 groups. RESULTS: The mean AST, alanine transaminase (ALT), and total bilirubin levels after liver resection were significantly lower in the ulinastatin group than in the control group. The number of patients who showed an AST > 400 U/L after liver resection was significantly higher in the control group (odds ratio = 3.02). CONCLUSIONS: Ulinastatin attenuates the elevation of hepatic enzymes and bilirubin after liver resection. |
| Databáze: | OpenAIRE |
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