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Biomedical subjects

T Banciu

Publications and source records attributed to T Banciu.

At least 37 records · Page 2Linked to original sources

[The effect of withdrawal on humoral and cellular immune changes in alcoholic hepatopathy].

In 24 patients with alcoholic hepatopathy (HA) the long-time (two years) influence--induced by the alcohol withdrawal (16 patients) or continuation (8 patients)--on the immunological, humoral and cellular modifications was followed. An important improvement of the immunological disorders, mainly the cellular ones, in the weaned patients was noticed: the increase of T lymphocytes with "reestablishment" of the T lymphocyte subsets equilibrium by increasing the T1 subpopulation--s/c: the decrease of the active T lymphocytes and of the B lymphocyte population. These changes led to humoral immune improvement. In the non-withdrawal patients, the immunological disorders continued and became even worse.

Adult↗

Gastroesophageal reflux in chronic alcoholics. Endoesophageal pH determinations using Heidelberg telemetring capsule.

Gastroesophageal reflux (GER) was studied in 86 chronic ethanol consumers, by determination of endoesophageal pH using a Heidelberg telemetring capsule. All the subjects were subjected to radiologic and endoscopic explorations in some cases completed by esophageal mucosa biopsy. In 49 subjects (56.4%) GER was present in various degrees according to the calculated score; medium and high intensity reflux in 37 cases (44%). GER was symptomatic in 62% of the cases and 30 patients (35.7%) presented esophagitis with columnar epithelium metaplasia in 3 cases. The intensity of reflux and the presence of esophagitis were found to be correlated with the degree of alcoholic "impregnation". Radiologic exploration detected GER in only 22 patients (44.9%).

Alcoholism↗

The interference of an autoimmune mechanism in the pathogeny of chronic active liver diseases.

The part played by the human hepatocytic antigens in the self-perpetuation of the inflammatory processes was investigated in two groups of patients with chronic active liver disease (CALD). In the 26 patients of the first group (14 with chronic active hepatitis and 12 with active cirrhosis), their serum was put in contact with a suspension of hepatocytes in a culture of liver from a 5.5 month-old human embryo, in presence of rabbit complement. The hepatocytic lysis was evaluated by the test of microcytotoxicity (MCT), considered positive at values above 60%. Ten healthy subjects and 8 patients with atrophic gastritis were used as controls. In 12 other patients with CALD (2nd group), the authors performed the test of inhibition of the macrophage migration (IMM) and that of lymphoblastic transformation (LT) in presence of an autologous liver antigen, obtained by liver biotic puncture. In the first group, the MCT test was positive in 57.6% of the patients, in correlation with a particular biomorphologic aggressivity and marked immune disturbances, while in controls it was negative in 17 of the 18 cases. In the second group, the extract of autologous hepatocytes induced a marked inhibition of the macrophage migration and a significantly increased lymphoblastic transformation. It is concluded to the existence, in the patients with CALD, of cytotoxic hepatocytic antibodies, as well as to a stimulation of the macrophagic-lymphocytic function in presence of the autologous liver antigen. The participation af an autoimmune mechanism in the perpetuation of the hepatocytic lesions in such patients is also suggested.

Antibody Formation↗

The "Propins" test, a method for the estimation of the participation of the beta-adrenergic mechanism in ulcerogenesis.

In 12 ulcer patients in attack and in 6 healthy subjects the secretory test to insulin (Hollender test) was used and repeated after 48 hrs in association with propranolol (Propins test). While in controls the stimulated acid secretion was not influenced in ulcer patients a significant reduction of the secretory parameters was obtained in 60% of the cases thus confirming the existence of a beta-adrenergic component of the hydrochloric secretion. In 40% of the ulcer patients this effect was not observed. It therefore results that by using our "Propins" test it is possible to estimate the prevalence of the vagal-cholinergic or the beta-adrenergic (gastrinic) mechanism in the pathogenesis of duodenal ulcer.

Duodenal Ulcer↗

Hepatic fibrosis in alcoholic steatosis. Morphologic aspects and evolutive tendencies.

Alcoholic hepatic steatosis, considered for a long time as a reversible "harmless" disease, is now re-evaluated according to the concept of cirrhosis without cell necrosis and inflammation. The study of 166 biopsies from alcoholic hepatic steatosis has demonstrated the presence of fibrotic process in 25 (15%) of the cases. Histologic and electron microscopic examination have supplied data on the distribution of this fibrosis (perivenous, perisinusoidal and extensive) as well as on the cells involved in collagen synthesis; myofibroblasts, fat storing cells (Ito cells) and the hepatocyte itself. Peritoneoscopy revealed aspects of incipient portal hypertension in some of the cases. Follow-up in time with reiteration of morphologic exploration at intervals of 2 to 3 years has shown the possible evolution toward cirrhosis in cases of steatosis with fibrosis when ethanol consumption is continued. Detection of early fibrosis, in patients with alcoholic steatosis, by means of morphologic or biochemical methods would be necessary for its therapeutic implication: possible reversibility by abstinence from alcohol and antifibrogenic therapy.

Biopsy↗