Reduction of venous pressure during the resection of liver metastases compromises enteric blood flow: IGFBP-1 as a novel biomarker of intestinal barrier injury
Clinics; 72 (10), 2017
Publication year: 2017
OBJECTIVES:
Disruption of the intestinal barrier and bacterial translocation commonly occur when intestinal blood flow is compromised. The aim of this study was to determine whether liver resection induces intestinal damage.METHODS:
We investigated intestinal fatty-acid binding protein and insulin-like growth factor binding protein levels in the plasma of patients who underwent liver resection.RESULTS:
We show that liver resection is associated with significant intestinal barrier injury, even if the Pringle maneuver is not performed.CONCLUSION:
We propose the use of insulin-like growth factor binding protein-1 as a novel biomarker of intestinal damage in such situations.
Traslocación Bacteriana, Biomarcadores/sangre, Neoplasias del Colon/patología, Proteínas de Unión a Ácidos Grasos/sangre, Hepatectomía/efectos adversos, Proteína 1 de Unión a Factor de Crecimiento Similar a la Insulina/sangre, Mucosa Intestinal/irrigación sanguínea, Mucosa Intestinal/lesiones, Neoplasias Hepáticas/secundario, Neoplasias Hepáticas/cirugía, Complicaciones Posoperatorias, Resultado del Tratamiento, Presión Venosa/fisiología