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Serum oxidative stress is increased in patients with post cholecystectomy bile duct injury
A G Miranda-Díaz1, J M Hermosillo-Sandoval, G G Ortiz
1General Surgery, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, México. alexmiranda1@hotmail.com
Background:
Post-cholecystectomy bile duct injuries are identified by the onset of jaundice as well as elevated bilirubin and alkaline phosphatase levels during the peri-operative period. It is unknown how serum oxidative stress markers are modified in patients with post-cholecystectomy bile duct injuries.
Objective:
To determine serum oxidative stress marker levels (lipid peroxidation by-products, nitrites/nitrates and total antioxidant capacity) in patients with post-cholecystectomy bile duct injuries.
Patients And Methods:
A prospective, transversal and analytical study was designed with two groups. Group 1: 5 healthy volunteer subjects. Group 2: 52 patients with post-cholecystectomy bile duct injuries (43 female and 9 male). An elective bilio-digestive reconstruction was performed at week 8. The serum oxidative stress marker levels were quantified by colorimetric method.
Results:
Patients with bile duct injuries had a significant increased serum lipid peroxides (malondialdehyde and 4-hydroxy-alkenals) and nitric oxide metabolites (nitrites/nitrates) levels compared to the control group. In contrast, total antioxidant capacity in patients with bile duct injuries remained similar compared to healthy controls.
Conclusions:
The results show that oxidative stress is usually associated to bile duct injury.
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