Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/18558
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dc.contributor.authorKalambokis, G. N.en
dc.contributor.authorMouzaki, A.en
dc.contributor.authorRodi, M.en
dc.contributor.authorPappas, K.en
dc.contributor.authorFotopoulos, A.en
dc.contributor.authorXourgia, X.en
dc.contributor.authorTsianos, E. V.en
dc.date.accessioned2015-11-24T18:53:25Z-
dc.date.available2015-11-24T18:53:25Z-
dc.identifier.issn1542-7714-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18558-
dc.rightsDefault Licence-
dc.titleRifaximin Improves Systemic Hemodynamics and Renal Function in Patients With Alcohol-Related Cirrhosis and Ascitesen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1016/j.cgh.2012.02.025-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/22391344-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2012-
heal.abstractBACKGROUND & AIMS: Circulating levels of endotoxin, interleukin (IL)-6, and tumor necrosis factor (TNF)-alpha increase with intestinal bacterial overgrowth and translocation, and are believed to be involved in the pathogenesis of hyperdynamic circulatory syndrome and functional renal failure in patients with advanced cirrhosis. METHODS: We investigated the effects of the antibiotic rifaximin on systemic hemodynamics and renal function in patients with alcohol-related cirrhosis and ascites. We measured mean arterial pressure, cardiac output (CO) by Doppler ultrasound, systemic vascular resistance (as the ratio of mean arterial pressure:CO), plasma rennin activity, levels of plasma aldosterone, the glomerular filtration rate by plasma clearance of technetium-99m-DTPA, natriuresis, levels of plasma endotoxin, and serum levels of IL-6 and TNF-alpha in 13 patients at baseline and after 4 weeks of treatment with rifaximin. RESULTS: Rifaximin treatment significantly reduced CO and significantly increased systemic vascular resistance, in association with a significant decrease in plasma rennin activity. The therapy also significantly increased the glomerular filtration rate and natriuresis while reducing levels of endotoxin, IL-6, and TNF-alpha. CONCLUSIONS: Intestinal decontamination with rifaximin improved systemic hemodynamics and renal function in patients with advanced cirrhosis.en
heal.journalNameClin Gastroenterol Hepatolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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