Long‐term follow‐up study of asymptomatic hbsag‐positive voluntary blood donors in austria: A clinical and histologic evaluation of 242 cases

Brigitte Dragosics, Peter Ferenci, Eva Hitchman, Helmut Denk – 1 March 1987 – Two hundred forty‐two voluntary blood donors, referred after detection of HBsAg positivity, underwent clinical evaluation and liver biopsy and were prospectively followed for an average of 3.5 years. At initial testing, 65% of HBsAg carriers had normal laboratory findings; during follow‐up, 26% of these carriers developed abnormal test results, at least transiently. Liver histology was normal in 31.4%, revealed nonaggressive liver disease in 63.6% and chronic active hepatitis or cirrhosis in 5%, only.

Prevention of recurrent bleeding in cirrhotics with recent variceal hemorrhage: Prospective, randomized comparison of propranolol and sclerotherapy

Wolfgang E. Fleig, Eduard F. Stange, Roland Hunecke, Wolfgang Schönborn, Ulrike Hurler, Kordula Rainer, Wilhelm Gaus, Hans Ditschuneit – 1 March 1987 – To compare the efficacy of endoscopic paravariceal sclerotherapy and oral propranolol in the prevention of recurrent upper gastrointestinal bleeding, 78 cirrhotic patients were randomly assigned to either treatment after an endoscopically proven bleed from esophageal varices.

Isolated rat hepatocyte couplets in short‐term culture: Structural characteristics and plasma membrane reorganization

Anil Gautam, Oi‐Cheng Ng, James L. Boyer – 1 March 1987 – Studies of canalicular bile secretion have been limited due to lack of direct access to the canalicular lumen. Isolated rat hepatocyte couplets, consisting of two hepatocytes enclosing a canalicular space, have been proposed as a primary secretory unit that may be useful for direct studies of unmodified canalicular bile secretion. The present study examines their structural characteristics and plasma membrane reorganization.

Depression of peripheral blood monocyte aryl hydrocarbon hydroxylase activity in patients with liver disease: Possible involvement of macrophage factors

Theresa C. Peterson, C. Noel Williams – 1 March 1987 – Aryl hydrocarbon hydroxylase activity was detectable in cultured macrophage monolayers of peripheral blood monocyte origin. Peripheral blood monocytes were isolated from patients with biopsy‐confirmed liver disease and healthy volunteers. Macrophage monolayers were prepared and incubated at 37°C. After 24 hr, the aryl hydrocarbon hydroxylase activity and cellular protein concentration were assayed on cell homogenates.

Ultracentrifugal isolation of vesicular carriers of biliary cholesterol in native human and rat bile

Natalia Ulloa, Jorge Garrido, Flavio Nervi – 1 March 1987 – We have utilized ultracentrifugation of native bile‐Metrizamide density gradients to isolate a vesicular transport system or biliary lipids in both man and rat. We identified vesicular structures by electron microscopy. Fresh bile specimens were obtained from bile fistula rats (unsaturated bile) and from patients 1 week after bile duct surgery (supersaturated bile). Metrizamide was dissolved in bile (33% w/v), and continuous density gradients were performed with undiluted bile (density limits = 1.020 to 1.300 gm per ml).

Cerebral CT scan abnormalities in cholestatic and hepatocellular disease and their relationship to neuropsychologic test performance

Patricia Bernthal, Amy Hays, Ralph E. Tarter, David Van Thiel, James Lecky, Andrea Hegedus – 1 January 1987 – Forty‐nine nonalcoholic cirrhotic patients, on whom cranial CT scans were available, were administered a battery of neuropsychological tests. Although none of the subjects exhibited clinical signs or symptoms of hepatic encephalopathy, quantification of the CT scan image implicated cerebral edema and cortical atrophy. In addition numerous significant correlations were observed between the CT variables and neuropsychological test performance.

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