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Biomedical subjects

J Marton

Publications and source records attributed to J Marton.

At least 19 recordsLinked to original sources
PubMed1998

Beneficial effect of octreotide treatment in acute pancreatitis in rats.

CONCLUSIONS: Octreotide treatment contributes to the regulation of tumor necrosis factor (TNF) production in sodium taurocholate-induced acute necrotizing pancreatitis in rats. Owing to its complex effect, octreotide can partially ameliorate the deleterious consequences of acute necrotizing pancreatitis. Elevated TNF and interleukin-6 (IL-6) levels in the peritoneal fluid may be considered a consequence of the activation of peritoneal macrophages. BACKGROUND: The effects of octreotide on exocrine pancreatic function have been investigated in numerous studies, but little attention has been paid to its influence on cytokine production in acute pancreatitis. METHODS: Acute pancreatitis was induced by the retrograde injection of taurocholic acid into the pancreatic duct in male Wistar rats. Serum amylase activity, wet pancreatic weight/body weight (pw/bw) ratio, and TNF and IL-6 levels were measured. Four micrograms/kg of octreotide was administered subcutaneously at the time of induction of pancreatitis and 24 or 48 h later. Rats were sacrificed 6, 24, 48, or 72 h after the operation. RESULTS: The serum amylase level and pancreatic weight to body weight ratio were decreased significantly in the octreotide-treated group. The serum TNF level was decreased significantly in the octreotide-treated group as compared with the control group at 6, 24, and 48 h (0.6 +/- 1.5, 2.0 +/- 3.3, and 0 vs 50 +/- 15.5, 37.5 +/- 18.4, and 13.1 +/- 12.5 U/mL, respectively). The ascites TNF level was decreased to 0 in the octreotide-treated group and was elevated in the control group at 72 h (28.0 +/- 49.0 U/mL). IL-6 production in ascites was extremely high in both groups at 6 h (80,000 +/- 43,817 pg/mL and 58,500 +/- 33,335 pg/mL), but the difference was not significant.

Amylases↗
PubMed1998

Beneficial effects of pentoxifylline treatment of experimental acute pancreatitis in rats.

UNLABELLED: The purposes of this study were to determine the tumor necrosis factor (TNF) and interleukin-6 (IL-6) levels after the induction of acute necrotizing pancreatitis, and to establish the effects of pentoxifylline on cytokine production. METHODS: acute pancreatitis was induced by the retrograde injection of 200 microliters taurocholic acid into the pancreatic duct in male Wistar rats. The serum amylase activity, the wet pancreatic weight/body weight ratio, and the TNF and IL-6 levels were measured. Seven mg/kg pentoxifylline were administered intraperitoneally at the time of operation 6, 12 or 24 h later. Rats were killed 6, 24, 48 or 72 h after the operation. RESULTS: the TNF bioassay revealed high levels of TNF (30.2 +/- 5.4 U/ml, 35.0 +/- 5.0 U/ml and 36.6 +/- 6.0 U/ml) in the control group at 6, 24 and 48 h and (54.1 +/- 20 U/ml and 10.9 +/- 4.2 U/ml) in the pentoxifylline-treated group at 6 and 24 h, respectively, whereas the level had decreased to zero in the pentoxifylline-treated group at 48 h. The IL-6 bioassay likewise demonstrated high levels of IL-6 in the control group at 48 h and in the pentoxifylline-treated group at 6 and 24 h, and markedly decreased levels in the pentoxifylline-treated group at 48 h (7083 +/- 2844 pg/ml, 6463 +/- 1307 pg/ml, 10,329 +/- 5571 pg/ml vs 137.5 +/- 85.5 pg/ml, respectively, P < 0.05). The high mortality observed in the pancreatitis group (43%) was decreased by pentoxifylline administration to 11%. CONCLUSION: these results demonstrate that pentoxifylline very effectively inhibits cytokine production in acute pancreatitis.

Acute Disease↗
PubMed1997

[Scientific publications from 10 Central European countries in the leading foreign periodicals].

The life science publication output of ten mid-size European countries was investigated in the outstanding foreign journals of 37 disciplines. The activities corrected with the populations show differences of order magnitude. The publication activities of the late communist countries in the leading foreign scientific journals are far below the average, especially in the field of clinical medicine.

Biological Science Disciplines↗
PubMed1997

New nepenthone and thevinone derivatives.

The diastereoselective reaction of thevinone (2a) and nepenthone (2c) and their dihydro derivatives (2b and d) with Grignard reagents afforded new N-substituted (20S)- and (20R)-phenyl-6,14-ethenomorphinan derivatives (6a-y). The Grignard reaction of the N-substituted-N-demethyl derivatives 4a-f and 4m-r with methylmagnesium iodide resulted in the (20R)-phenyl tertiary alcohols 5a-f and 5m-r, respectively, but the conversion of 4g-1 and that of the N-substituted-dihydrothevinone derivatives with phenylmagnesium bromide afforded the (20S)-phenyl derivatives 5g-l and 5s-y, respectively. The N-cyclopropylmethyl-, N-beta-phenylethyl-, and N-propyl derivatives were prepared by the 3-O-demethylation of compounds 5. For the synthesis of the N-allyl-, N-dimethylallyl-, and N-propargyl compounds 2a-d were reacted with the corresponding Grignard reagent, and treatment of the products with cyanogen bromide gave the cyanamides 8a-d. These latter compounds were transformed into 10a, b,d, whose alkylation led to the target derivatives 6d-f, j-l, p-r, and w-y. The biochemical investigation of these substances showed that the affinities to the delta-opioid receptors were high, but the selectivity was low. In two cases (6c and 11d) a mu-opioid receptor specificity was observed.

Animals↗
PubMed1997

Long operation and the risk of complications from laparoscopic cholecystectomy.

BACKGROUND: Data collected prospectively from patients undergoing laparoscopic cholecystectomy under one consultant surgical team were analysed to examine the influence of duration of operation on postoperative complications. METHODS: Between June 1990 and March 1994, 411 consecutive patients underwent laparoscopic cholecystectomy, of which nine (2.2 per cent) were converted to open operation. Patients whose laparoscopic operation took 3 h or more (32 patients) were compared with those whose operation took less than 3 h (370 patients) with respect to postoperative complications. RESULTS: There was a higher incidence of acute biliary disease (28 versus 7.0 per cent), upper abdominal adhesions (16 versus 3.2 per cent), significant gallbladder adhesions (69 versus 25.4 per cent) and common bile duct exploration (16 versus 1.4 per cent) in patients having a long operation. Complications were divided into "surgical' and "general', and included cardiovascular, respiratory and thromboembolic events. The overall complication rate was 9 per cent in the long operation group and 3.8 per cent in the short operation group (P not significant) (4.2 per cent for both groups combined). No general complications occurred in those having a longer operation. CONCLUSION: The duration of operation does not affect the risk of general complications after laparoscopic cholecystectomy, so enabling the advantages of the minimally invasive approach to be realized in patients with more advanced biliary disease.

Adult↗
PubMed1995

[While science grows and the number of libraries decreases, what will happen to information? (Decrease of medical journals in Hungary)].

The differences between the 1982 and 1994 subscriptions of the leading medical journals were investigated. Sample journals were taken from the impact factor rank lists of the Science Citation Index. The 1994 level was 45% lower than that of 1982. The information supply of the medical universities has weakened too, especially because they have too many small institutional library units. They are not able to supply the literature necessary to their readers and to the Hungarian medical audience.

Forecasting↗
PubMed1995

Bile leakage following laparoscopic cholecystectomy.

Laparoscopic cholecystectomy (LC) is now the treatment of choice for gallstones, but there has been concern that bile leakage with LC is more frequent than after open cholecystectomy (OC). We have analyzed our experience of this complication with regard to both its incidence and management. From a consecutive series of 500 LC, in which both operative cholangiography and drainage of the gallbladder bed were routine, bile leakage was identified in ten patients (2%). There was no bile duct injury. Nine of the ten patients presented with bile in the drain within 24 h of operation and one patient presented 1 week after operation with a subphrenic collection. Of the ten patients, five settled spontaneously. Of the five remaining patients, two needed laparotomy--one for a subphrenic collection not responding to percutaneous drainage and one for biliary peritonitis. One patient was treated by relaparoscopy and suture of a duct of Luschka and one patient had successful percutaneous drainage of an infected collection; the fifth patient who presented with a late subphrenic collection of bile was shown at endoscopic retrograde cholangiopancreatography (ERCP) to have a cystic duct stump leak and was treated with an endoscopic stent. Bile leakage is seen more frequently after LC than OC for reasons that are currently unclear. We believe that the use of routine gallbladder bed drainage is justified for this reason alone. The majority of bile leaks settle either spontaneously or with minimally invasive intervention.

Adult↗
PubMed1995

Fundus-first laparoscopic cholecystectomy.

Removal of the gallbladder with commencement of dissection at the fundus is well recognized as a safe technique during difficult "open" cholecystectomy because it minimizes the risks of damage to the structures in or around Calot's triangle. We report here the routine employment of liver retractors and fundus-first dissection during laparoscopic cholecystectomy (LC) as an alternative to techniques previously described. Retraction of the liver and "fundus-first" dissection was used in 53 patients who underwent laparoscopic cholecytectomy. There were 16 male and 37 female patients. Seven were operations performed during an acute admission and 20 had moderate or severe adhesions involving the gallbladder. Thirteen patients had a preexisting abdominal incision. The procedure was successful in 52 patients (98%), but in one patient it was converted to open operation because of dense adhesions. Median duration of operation was 90 min (range 35-240 min). There was no mortality and two complications (persistent right upper quadrant pain for 2 weeks after operation and bile leakage from the gallbladder bed). The facility to retract the liver and carry out a fundus-first dissection extends techniques developed for "open" surgery into the laparoscopic arena. It offers the surgeon the safety and versatility during laparoscopic cholecystectomy that it confers during conventional open surgery.

Acute Disease↗
PubMed1992

[Results of extended resection of tumors of the colon and rectum].

The postoperative lethality and 5 year survival of elective extended colon resections in 59 locally advanced colorectal tumour cases has been evaluated. The operation has been extended for one adjacent organ in 47 (Groups I.) and for two or more organs in 12 cases (Groups. II.). The postoperative lethality was 47/1 and 12/2 respectively (P less than 0.01). However the 5 year survival proved to be similar--42% and 40% respectively in both patients group. The 5 year survival of patients group I. and II. was not significantly different comparing to the "simple" elective colorectal resections on the patients in Dukes C stadium operated on in the same period of time. Significantly better 5 year survival has been observed in the patients groups. I. and II. comparing to the outcome of the elective palliative (anus prae and ileo- or colo-colostomies) colorectal operations. The results certify the value of the radical surgical procedures in the locally advanced tumor cases.

Colectomy↗
PubMed1990

Hypophysial trophic hormone response to adrenalectomy and ether stress in rats bearing anterior pituitary tissue in third ventricle of the brain.

Inhibitory effect of anterior pituitary tissue implanted into the brain on trophic hormone secretion was studied under resting conditions and after adrenalectomy or ether stress. The weight of pituitary gland in rats bearing anterior pituitary graft in the third ventricle was decreased and the body weight gain was retarded. The levels of ACTH, PRL and GH, but not those of FSH and LH in plasma were significantly lower as compared with all control groups. There was a pituitary ACTH, PRL and GH response to adrenalectomy and ether stress in these rats. Besides supporting literary data on the inhibitory effect of additional pituitary grafts on the adenohypophysis, these findings indicate that pituitary implants did not cause any appreciable alteration of pituitary responsiveness, at least to adrenalectomy or ether stress.

Adrenal Glands↗