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ID 50003
file
creator
TAKAHASHl, Makoto
HARADA, Mitsuo
INAGAKI, Kazuo
AKIMOTO, Naotaka
TAMURA, Hiroyuki
MATSUNO, Kiyoshi
MAEDA, Yorinobu
FURUYASHIKI, Susumu
subject
Hypercholanuria
Hypercholanemia
Urinary bile acids
Serum bile acids
Bile peritonitis
NDC
Medical sciences
abstract
Serum or urinary bile acids were determined in bile peritonitis with emphasis on peritoneal bile acid absorption. Bile peritonitis patients consisted of each two patients with insidious type, and acute or dramatic type, of bile peritonitis. All of them exhibited elevation in bile acid concentrations of 95.3, 37.0 mg/liter urine in the former, and of 87.6, 12.8 mg/liter serum in the latter. This finding implies that intraperitoneal bile acids were absorbed through the peritoneum into the blood resulting in hypercholanemia and hypercholanuria, in bile peritonitis. Early diagnosis of bile peritonitis is sometimes difficult because there are fewer signs of peritoneal irritation. Therefore our data indicate that enzymatic determination for serum bile acids is effective for early detection of bile peritonitis and thus the fatal outcome in insidious type of bile peritonitis can be avoided.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 36
issue
Issue 4
start page
367
end page
375
date of issued
1987-12
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
pubmed id
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
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