Document Detail


Postoperative changes in hemostasis analyzed by the serial determination of fibrinopeptides and D-dimer.
MedLine Citation:
PMID:  2674499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to elucidate the postoperative changes in hemostasis, three molecular markers; fibrinopeptide A (FPA), fibrinopeptide B beta 15-42 (B beta 15-42) and D-dimer, were serially determined in 27 gastric resections (group A), 27 hepatic resections (group B) and 4 probe laparotomies (group C). Unexpectedly, a postoperative hypercoagulable state was transient and of a low magnitude, as determined by the obtained value of FPA. On the other hand, a significant fibrinolysis (an elevation of B beta 15-42) was observed immediately after surgery which continued for over 10 days. The early phase of fibrinolysis, up until the 3rd postoperative day, is likely to be primary fibrinolysis, as it was not accompanied by the formation of D-dimer, which results from the digestion of fibrin by plasmin. The late phase, however, is considered to be secondary fibrinolysis, as D-dimer was elevated during this phase. Despite the different surgical procedures, these changes were basically similar between the patients who underwent gastric resections and those who underwent liver resections. The postoperative changes in hemostasis as presented herein may therefore be the general physiological response, at least against abdominal surgery.
Authors:
J Kang; J Kambayashi; M Sakon; T Tsujinaka; T Mori
Related Documents :
21140109 - Subglottic stenosis in infants and children.
2541839 - Surgical management of space-occupying lesions in the liver.
20099429 - Change in preoperative strategy based on intraoperative ultrasound findings.
8546569 - Simplified inflow control using stapling devices for major hepatic resection.
19664629 - A single-center surgical experience of 122 patients with single and multiple hepatocell...
9730389 - Surgical treatment of hepatocellular carcinoma on cirrhosis: a western experience.
19753619 - Quality of life in postoperative vestibular schwannoma patients.
18186379 - Conservative treatment for patients with acute right colonic diverticulitis.
15757059 - Umbilical hernia repair in cirrhotic patients: utility of temporary peritoneal dialysis...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Japanese journal of surgery     Volume:  19     ISSN:  0047-1909     ISO Abbreviation:  Jpn J Surg     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-10-23     Completed Date:  1989-10-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302176     Medline TA:  Jpn J Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  262-8     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Osaka University Medical School, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abdomen / surgery*
Adult
Aged
Blood Coagulation
Female
Fibrin Fibrinogen Degradation Products*
Fibrinogen / metabolism*
Fibrinolysis
Fibrinopeptide A / metabolism*
Fibrinopeptide B / metabolism*
Hemostasis*
Humans
Male
Middle Aged
Peptide Fragments / metabolism*
Postoperative Period
Chemical
Reg. No./Substance:
0/Fibrin Fibrinogen Degradation Products; 0/Peptide Fragments; 0/fibrinopeptide Bbeta (15-42); 25422-31-5/Fibrinopeptide A; 36204-23-6/Fibrinopeptide B; 9001-32-5/Fibrinogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Endothelin dissociates muscle tension from cytosolic Ca2+ in vascular smooth muscle of rat carotid a...
Next Document:  Radioisotopic splenoportography in patients with portal hypertension.