[Abstract] [Full Text PDF] (in Japanese / 2499KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 85(10): 1301-1307, 1984


Original article

CHANGES IN SEROTONIN AND HISTAMINE LEVELS IN BLOOD AND LIVER AFTER ACUTE HEPATIC ISCHEMIA

1st Department of Surgery, Miyazaki Medical College
*) 2nd Department of Surgery, Kagoshima University School of Medicine

Jiroichi Ono, Tsutomu Furukawa*), Taketo Katsuki

To clarify the changes of vasoactive amines associated with acute hepatic failure, ammonia, tryptophan, serotonin (5-HT) and histamine in the blood and liver were studied in dogs (n =22) of each three group of acute hepatic ischemia ; occlusion of hepatic artery (controls), occlusion of hepatic artery and portal vein (THI), and portocaval shunt with THI (PCS + THI). These biochemical changes were studied in each group at six time intervals: Preocclusion, 15 and 30 minutes postocclusion, and 30, 60 and 120 minutes after release of occlusion. A rapid rise of blood ammonia levels was observed in groups of THI and PCS + THI after occlusion. Blood 5-HT increased in postocclusion of both controls and THI. However, a decrease of 5-HT was observed in PCS + THI. Hepatic 5-HT also increased after occlusion in THI and PCS + THI as compared with a decrease in controls. Plasma histamine rose significantly in al groups after the occlusion.
These data demonstrated that the changes of vasoactive amines in hepatic ischemia and/or splanchnic pooling appeared to affect microcirculation of the liver and play a role of pathogenesis of hepatic failure after hepatic ischemia.


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