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  • Electronic Resource  (3)
  • Phenobarbital  (2)
  • Akutes Leberversagen  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 287 (1975), S. 33-45 
    ISSN: 1432-1912
    Keywords: Bile Formation ; Lipid Secretion ; Phenobarbital ; Spironolactone ; Pregnenolone-16α-Carbonitrile
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The effects of pretreatment for 4 days with the hepatic microsomal enzyme inducers phenobarbital (8 mg/100 g body weight), spironolactone (20 mg/100 g body weight) and pregnenolone-16α-carbonitrile (7 mg/100 g body weight) on bile flow and bile lipid secretion have been compared in rats. Similar to phenobarbital, spironolactone and pregnenolone-16α-carbonitrile increased bile flow but did not alter bile salt excretion, indicating that these agents increased bile salt independent bile formation. This finding could be substantiated for spironolactone by studies of the relationship between bile salt excretion and bile flow during bile salt infusions. Whereas phenobarbital decreased cholesterol and phospholipid secretion to 39 and 49%, respectively, spironolactone and pregnenolone-16α-carbonitrile more than doubled cholestal excretion without influencing phospholipid output. As a consequence, marked differences in the effect on cholesterol saturation were observed: a decrease by phenobarbital and an increase following spironolactone and pregnenolone-16α-carbonitrile. The present studies demonstrate that different types of enzyme inducers may share certain effects on bile formation and differ in others.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1289
    Keywords: Schlüsselwörter ; Akutes Leberversagen ; hepatolentikuläre Degeneration ; Kupferstoffwechsel ; Lebertransplantation ; Morbus Wilson
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Bei jungen Patienten mit akutem Leberversagen muß immer an die Erstmanifestation eines Morbus Wilson gedacht werden. Wegweisend für die Diagnose ist die begleitende Coombs-negative hämolytische Anämie, eine Erniedrigung der alkalischen Phosphatase bei ausgeprägter Hyperbilirubinämie sowie ein GOT/GPT-Verhältnis 〉4. Die Diagnose wird durch Nachweis des erhöhten freien Serumkupfers und der meist exzessiv gesteigerten renalen Kupferausscheidung bestätigt. Im Gegensatz zu medikamentös oder viral ausgelösten Leberversagen, die bei vergleichbarer Einschränkung der Leberfunktion noch eine Restitutio ad integrum erwarten lassen, ist der Verlauf eines fulminanten Morbus Wilson bei alleiniger konservativer Therapie immer infaust. In dieser Situation stellt die Lebertransplantation die einzige kurative Therapie dar und muß mit höchster Dringlichkeit durchgeführt werden.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 270 (1971), S. 98-101 
    ISSN: 1432-1912
    Keywords: Bile Flow ; Bile Acids ; Liver ; Phenobarbital
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Treatment of rats with phenobarbital for 3 or 7 days increases bile flow to 150% or 151% of controls. This choleresis is not due to an increase of total bile acid output nor to a change of the bile acid pattern in bile.
    Type of Medium: Electronic Resource
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