El comportamiento del factor de necrosis tumoral alfa e interleucina 6 en lesiones de vías biliares postcolecistectomía
-
ALEJANDRA G MIRANDA-DÍAZ [1] ; JOSÉ M HERMOSILLO-SANDOVAL [2] ; GONZALO HUERTA-ROSAS [2] ; GERMÁN G LÓPEZ-GUILLÉN [2] ; ERNESTO G CARDONA MUÑOZ [1] ; TRINIDAD GARCÍA-IGLESIAS [1] ; FERMÍN PACHECO-MOISÉS [1] ; MARÍA DEL P ALATORRE-CARRANZA [1]
-
[1] Universidad de Guadalajara
Universidad de Guadalajara
México
-
[2] Hospital de Especialidades
Hospital de Especialidades
México
-
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 10, 2010, págs. 1259-1263
- Idioma: español
- Títulos paralelos:
- Tumor necrosis factor-alpha and interleukin-6 levels among patients suffering a bile duct injury during cholecystectomy
- Enlaces
-
Resumen
Background: During cholecystectomy, the bile duct may be injured. When this complication occurs, Kupffer cells are activated and produce tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL6) to phagocyte toxic products Aim: To measure serum levels of TNF-α and IL-6 among patients that suffered a bile duct injury after a cholecystectomy. Patients and Methods: Serum levels of TNF-α and IL-6 were measured prior to the bile-enteric derivation and after one year of follow up, in 31 patients that had a complete bile duct obstruction after open or laparoscopic cholecystectomy and in 5 healthy controls. Results: At baseline TNF-α levels in healthy subjects and patients with bile duct injury were 0 and 43.9 ± 2.9 ng/mL, respectively (p < 0.01). At one year of follow up, TNF-á became undetectable among patients. At baseline, the values for IL-6 among healthy controls and patients were 3.0 ± 2.0 and 72.0 ± 94.7 pg/mL respectively, (p < 0,004). After one year of follow up, IL-6 levels decreased to 6.4 ± 0.3 pg/mL among patients. Conclusions: TNF-α and IL-6 levels were elevated before bile-enteric derivation among patients with bile duct injury and became normal one year later.
