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Alteration of the renal regulatory hormonal pattern during experimental obstructive jaundice.
Padillo, F J; Cruz, A; Espejo, I; Barcos, M; Gómez-Alvarez, M; Muntané, J.
Afiliación
  • Padillo FJ; Department of General Surgery, Reina Sofía University Hospital, Córdoba, Spain. javierpadiruiz@hotmail.com
Rev Esp Enferm Dig ; 101(6): 408-12, 2009 Jun.
Article en En | MEDLINE | ID: mdl-19630464
OBJECTIVE: The alteration of hormones regulating sodium and water status is related to renal failure in obstructive jaundice (OJ). EXPERIMENTAL DESIGN: OJ was induced by common bile duct ligation. Samples were obtained from the control (SO) and OJ groups at 24 and 72 hours, and at 7 days. Different parameters related to biliary obstruction, liver and renal injury, and vasoactive mediators such as renin, aldosterone, endothelin-1 (ET-1) and prostaglandin E2 (PGE2) were studied. RESULTS: Bile duct ligation caused an increase in total bilirubin (p < 0.001) and alkaline phosphatase (AP) (p < 0.001). The SO and OJ groups had the same values for diuresis, renin, and creatinine clearance at 24 h. However, animals with OJ had a lower sodium concentration in urine than SO animals (p < 0.01), as well as an increase in aldosterone levels (p < 0.03). ANP levels were moderately increased during OJ but did not reach statistical significance when compared to the SO group. In contrast, OJ animals showed a rise in serum ET-1 concentration (p < 0.001) and increased PGE2 in urine (p < 0.001). CONCLUSIONS: Biliary obstruction induced an increase in ET-1 release and PGE2 urine excretion. These hormones might play a role during the renal complications associated with renal disturbances that occur during OJ.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dinoprostona / Endotelina-1 / Ictericia Obstructiva Tipo de estudio: Etiology_studies Límite: Animals Idioma: En Revista: Rev Esp Enferm Dig Asunto de la revista: GASTROENTEROLOGIA Año: 2009 Tipo del documento: Article País de afiliación: España Pais de publicación: España
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dinoprostona / Endotelina-1 / Ictericia Obstructiva Tipo de estudio: Etiology_studies Límite: Animals Idioma: En Revista: Rev Esp Enferm Dig Asunto de la revista: GASTROENTEROLOGIA Año: 2009 Tipo del documento: Article País de afiliación: España Pais de publicación: España