The Effect of Biliary Pressure on Antibiotic Excretion into Bile

1995 ◽  
Vol 7 (4) ◽  
pp. 357-362 ◽  
Author(s):  
Shin YAMAMOTO ◽  
Yoshitsugu KUBOTA ◽  
Kazuyo FUJIMURA ◽  
Makoto TAKAOKA ◽  
Hideyuki KIN ◽  
...  
Keyword(s):  
Gut ◽  
1971 ◽  
Vol 12 (3) ◽  
pp. 218-221 ◽  
Author(s):  
G. Economou ◽  
J. N. Ward-McQuaid
Keyword(s):  

Author(s):  
A. Ye. Kotovskiy ◽  
K. G. Glebov ◽  
T. G. Dyuzheva ◽  
T. A. Syumareva ◽  
B. M. Magomedova

Aim.To evaluate the immediate results of endoscopic retrograde stenting of bile ducts in benign hepatopancreatoduodenal diseases and to justify enlargement of indications for surgery.Material and methods.There were 341 patients with various benign hepatopancreatoduodenal diseases for the period 2007–2017. Plastic stents were installed in 326 (95.6%) patients, metal self-expanding stents – in 15 (4.4%) patients.Results.There was a tendency to increase of the number of stenting procedures in patients with benign hepatopancreatoduodenal diseases that was primarily due to expansion of indications for this intervention. Therapeutic and prophylactic purposes of biliary stenting were determined. The main objectives of therapeutic stenting were bile drainage restoration in obstructive jaundice, reduction of extra- and intrahepatic biliary pressure, as well as drainage of cavities in liver communicating with biliary system. The main prophylactic goal was to prevent violation of bile outflow after endoscopic manipulations on the major duodenal papilla at high risk of migration of stones from gallbladder and reflux cholangitis. Severe complications of endoscopic transpapillary procedures were not observed.Conclusion.The indications for endoscopic transpapillary stenting of the bile ducts in case of benign hepatopancreatoduodenal diseases were systematized and reasonably expanded. Immediate results of biliary stenting confirm high efficacy of the method.


1987 ◽  
Vol 92 (6) ◽  
pp. 2063
Author(s):  
SG Qian ◽  
REJ Stimpson ◽  
CA Pellegrini ◽  
LU Way

1939 ◽  
Vol 110 (1) ◽  
pp. 67-80 ◽  
Author(s):  
R. RUSSELL ◽  
N. frederick hicken ◽  
ALISTER I. FINLAYSON

1986 ◽  
Vol 56 (3) ◽  
pp. 785-796 ◽  
Author(s):  
J. E. Tattersall ◽  
F. Cervero ◽  
B. M. Lumb

Single-unit electrical activity has been recorded from 122 viscerosomatic neurons in the T9 and T11 segments of the cat's spinal cord. These neurons were excited by electrical and/or natural stimulation of visceral and somatic afferent fibers. The majority of viscerosomatic neurons (72%) received somatic nociceptive inputs, either exclusively or together with low-threshold somatic inputs. Many of these neurons were excited most strongly by intense mechanical stimulation of subcutaneous tissues, particularly by pinching or squeezing muscle. Twelve viscerosomatic neurons were excited by distensions of the biliary system at levels of biliary pressure greater than 25 mmHg. These intensities of biliary stimulation evoked transient increases in blood pressure, which suggest that the visceral stimuli were of nociceptive nature. The effects of reversible spinalization by cold block were tested on 98 viscerosomatic neurons. Three subgroups of viscerosomatic neurons were distinguished depending on whether their responses to visceral afferent stimulation were increased, decreased, or unchanged in the spinal state. Forty percent of all neurons tested increased the intensity of their responses to visceral stimulation in the spinal state. In addition, many of these neurons developed or increased their background activity and increased their somatic responses in the spinal state. It is concluded that these neurons were subjected to tonic descending inhibition of both somatic and visceral afferent inputs. More than 40% of the neurons in this group were located in or close to lamina V of the dorsal horn. In 44% of all neurons tested the response to visceral stimulation was reduced or abolished by spinalization. The background activity was not affected in the same manner and sometimes even increased during spinalization. The responses to somatic stimuli were fully tested in 11 neurons of this group and were found to be decreased, but not abolished, in nine neurons, unchanged in one cell, and increased in another one. Many of the neurons in this group were located in the ventral horn (laminae VII and VIII). Sixteen percent of all viscerosomatic neurons tested showed no change in their responses to visceral stimulation during spinalization. It is concluded that the visceral input to viscerosomatic neurons in the lower thoracic spinal cord is under considerable descending control, which includes excitation as well as tonic inhibition of visceral afferent information. This may represent part of the widespread effects of visceral nociceptive stimulation.


1994 ◽  
Vol 61 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Mary Treinen Moslen ◽  
Mary F. Kanz ◽  
Jatinder Bhatia ◽  
Charles V. Smith ◽  
David K. Rassin
Keyword(s):  

2000 ◽  
Vol 279 (1) ◽  
pp. G49-G66 ◽  
Author(s):  
Stephen M. Wiener ◽  
Robert F. Hoyt ◽  
John R. Deleonardis ◽  
Randall R. Clevenger ◽  
Kenneth R. Jeffries ◽  
...  

The manometric, ultrastructural, radiographic, and physiological consequences of retrograde biliary infusion were determined in normostatic and cholestatic mice. Intraluminal biliary pressure changed as a function of infusion volume, rate, and viscosity. Higher rates of constant infusion resulted in higher peak intraluminal biliary pressures. The pattern of pressure changes observed was consistent with biliary ductular and/or canalicular filling followed by leakage at a threshold pressure. Retrograde infusion with significant elevations in pressure led to paracellular leakage of lanthanum chloride, radiopaque dye, and [14C]sucrose with rapid systemic redistribution via sinusoidal and subsequent hepatic venous drainage. Chronic extrahepatic bile duct obstruction resulted in significantly smaller peak intrabiliary pressures and lower levels of paracellular leakage. These findings indicate that under both normostatic and cholestatic conditions elevated intrabiliary volumes/pressures result in an acute pressure-dependent physical opening of tight junctions, permitting the movement of infusate from the intrabiliary space into the subepithelial tissue compartment. Control of intraluminal pressure may potentially permit the selective delivery of macromolecules >18–20Å in diameter to specific histological compartments.


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