Whole blood and ultrafiltrate conductivity in the portal vein (as a measure of hematocrit and total electrolyte concentration, Cel, respectively) and arterial pressure of alert rats were measured continuously. Single intraduodenal injections of solutions iso- and hyperosmotic to blood (0.5 or 1 per cent of body weight) produced characteristic changes which were compared with those after the application of water. Whereas H2O and isosmotic passively absorbed substances (sorbose and urea) caused a very variable Cel drop, isosmotic actively absorbed nutrients elicited individually constant but interindividually different (glucose greater than alanine++ greater than arginine) changes due to solute coupled electrolyte free water transport. This was taken as evidence of variable paracellular shunt permeability playing a role in passive, but not in active absorption. The magnitude of Cel changes was related to absorption rate, which was confirmed by behaviour with hypertonic solutions, where osmotic activity in the gut was lost the sooner, the more rapid absorption rate was. Shunt permeability was temporarily blocked by arginine. Hct changes immediately after injections indicated fluid loss from portal vein blood, which could be evaluated in the case of mannitol. The thickness of the absorptive layer, obtained from latency of Cel change after urea, delivered values not exceeding 0,51 mm for the unstirred layer. The latencies after glucose and alanine were usually not much greater than after urea. Cel rise after hypertonic solutions had the same latency as Cel drop after water. Small arterial pressure changes after nutrient solutions, mostly absent after injections of water and NaCl, indicated circulatory effects originating in the gut in association with the former.

Download full-text PDF

Source

Publication Analysis

Top Keywords

portal vein
12
vein blood
8
electrolyte concentration
8
arterial pressure
8
cel drop
8
shunt permeability
8
absorption rate
8
hypertonic solutions
8
latency cel
8
cel
6

Similar Publications

Myeloproliferative neoplasms (MPNs) are clonal hematopoietic stem cell disorders commonly characterized by excessive production of blood cell lineages. The JAK2 V617F mutation plays a crucial role in the pathogenesis of these conditions, often leading to thrombotic complications. Here, we present the case of a 21-year-old man who presented with acute abdominal pain and was found to have portal vein thrombosis with splenomegaly.

View Article and Find Full Text PDF

Background: Transjugular intrahepatic portosystemic shunt (TIPS) is an effective intervention for managing complications of portal hypertension, particularly acute variceal bleeding (AVB). While effective in reducing portal pressure and preventing rebleeding, TIPS is associated with a considerable risk of overt hepatic encephalopathy (OHE), a complication that significantly elevates mortality rates.

Aim: To develop a machine learning (ML) model to predict OHE occurrence post-TIPS in patients with AVB using a 5-year dataset.

View Article and Find Full Text PDF

Prediction of posthepatectomy liver failure in patients with hepatocellular carcinoma through ultrasound elastography.

World J Gastroenterol

January 2025

Department of Radiology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou 310014, Zhejiang Province, China.

In this article, we comment on the article by Cheng published in recently. Posthepatectomy liver failure (PHLF) remains a leading cause of hepatectomy-related mortality and can be evaluated according to liver reserve function. Liver stiffness (LS) measured by ultrasonic elastography and spleen area demonstrate a strong correlation with hepatic proliferation, fibrosis, and portal vein congestion, thus indirectly reflecting liver reserve function.

View Article and Find Full Text PDF

Background & Aims: Atezolizumab/bevacizumab (A/B) is now a standard first-line treatment for advanced hepatocellular carcinoma (HCC), but the optimal second-line regimen is not known. We evaluated real-world treatment patterns and outcomes to investigate factors associated with post-progression survival (PPS).

Methods: In this multicenter, international, retrospective study, we examined clinical characteristics and outcomes of patients with advanced HCC who progressed on first-line A/B.

View Article and Find Full Text PDF

Hemodynamic processes from the portal vein(PV) to the inferior vena cava(IVC) were mimicked for three patients with portal hypertension(PH) and the effects of stent parameters on the outcomes of transjugular intrahepatic portosystemic shunt(TIPS) were investigated through computational fluid dynamics(CFD). The liver region was simulated with porous media model and the spatial distributions of superior mesenteric vein(SMV) and splenic vein(SV) blood were solved through the Eulerian multiphase model. The present method is able to simulate the PH flow and predict the PV pressure, the stent shunt rate and the SMV blood proportion after TIPS treatment.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!