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Predictive Evaluation of the Effects of Biliary Decompression by Biliary ICG Clearance Test (ICG Bmax) for Patients with Obstructive Jaundice
http://hdl.handle.net/10069/15827
http://hdl.handle.net/10069/15827d8f0ce51-0345-482a-be52-56a5e5c6573d
名前 / ファイル | ライセンス | アクション |
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acta35_01_27_t.pdf (466.2 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Predictive Evaluation of the Effects of Biliary Decompression by Biliary ICG Clearance Test (ICG Bmax) for Patients with Obstructive Jaundice | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Harada, Noboru
× Harada, Noboru× Oka, Susumu× Izawa, Kunihide× Segawa, Toru× Eloria, Luis× Tsuchiya, Ryoichi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | To quantitate the effects of biliary decompression on hepatic functional reserve before operation in patietns with obstructive jaundice, we developed a new method of maximal hepatic removal of indocyanine green in the bile (ICG Bmax). This was calculated from the peak ICG concentration in the bile and the peak concentration time after its administration via antecubital vein using regression analysis. This study involved 13 normal controls and 26 jaundiced patients. ICG Bmax of the normal controls indicated more than 0.5. Among the jaundiced patients. 17 showed an ICG Bmax value of more than -0.5 early during biliary decompression and 87% of them satisfactorily tolerated further radical operation. The remaining patients in whom ICG Bmax initially showed less than -0.5, but 67% of them had an unfavorable outcome postoperatively. Six of the nine patients whose ICG Bmax was less than -0.5 prior to operation suffered severe postoperative complication, and three of whom died from hepatic failure. These results indicated that ICG Bmax evaluation during an early period of biliary decompression provided a reliable asseessment of the effects and a prediction of biliary drainage. ICG Bmax evaluation is also useful to the timely decision of radical operation. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 35, 号 1-4, p. 127-132, 発行日 1990-12-14 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
sortkey | ||||||
P00127-P00132 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1990, 35(1-4), p.127-132 |