Declines in serum free and bound choline concentrations in humans after three different types of major surgery

Verfasser / Beitragende:
[Yesim Ozarda Ilcol, Gurkan Uncu, Suna Goren, Erkan Sayan, Ismail H. Ulus]
Ort, Verlag, Jahr:
2004
Enthalten in:
Clinical Chemical Laboratory Medicine, 42/12(2004-12-01), 1390-1395
Format:
Artikel (online)
ID: 378898116
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024 7 0 |a 10.1515/CCLM.2004.259  |2 doi 
035 |a (NATIONALLICENCE)gruyter-10.1515/CCLM.2004.259 
245 0 0 |a Declines in serum free and bound choline concentrations in humans after three different types of major surgery  |h [Elektronische Daten]  |c [Yesim Ozarda Ilcol, Gurkan Uncu, Suna Goren, Erkan Sayan, Ismail H. Ulus] 
520 3 |a We examined the changes in circulating choline status in humans in response to major surgery by measuring serum free and phospholipid-bound choline concentrations before, during and 1-72h after total abdominal hysterectomy, off-pump coronary artery graft surgery or brain tumor surgery. Preoperatively, the mean serum free and phospholipid-bound choline concentrations in patients scheduled for abdominal hysterectomy (n=26), off-pump coronary artery grafting surgery (n=34) or brain tumor surgery (n=24) were 12.3±0.5, 12.1±0.4 and 11.4±0.4μmol/l, and 2495±75, 2590±115 and 2625±80μmol/l, respectively. Serum free choline and phospholipid-bound choline concentrations decreased from these baseline values to 8.8±0.7 (p<0.001), 8.8±0.5 (p<0.001) and 8.2±0.4μmol/l (p<0.001), and 2050±108 (p<0.001), 2166±59 (p<0.001) and 1884±104μmol/l (p<0.001) at 1h after hysterectomy, off-pump bypass graft surgery or brain tumor surgery, respectively. They remained at these low levels for 24h and then gradually increased towards the preoperative values at 48-72h postoperatively. Serum cortisol increased postoperatively in all surgical patients for 24h and its levels were inversely correlated with serum free and bound choline concentrations. These results show that circulating free and bound choline concentrations decrease for 72h after total abdominal hysterectomy, off-pump coronary artery graft surgery or brain tumor surgery in humans. 
540 |a ©2004 by Walter de Gruyter Berlin New York 
690 7 |a Medical equipment & techniques  |2 nationallicence 
690 7 |a Medical diagnosis  |2 nationallicence 
690 7 |a Diseases & disorders  |2 nationallicence 
690 7 |a bound choline  |2 nationallicence 
690 7 |a brain surgery  |2 nationallicence 
690 7 |a cortisol  |2 nationallicence 
690 7 |a free choline  |2 nationallicence 
690 7 |a hysterectomy  |2 nationallicence 
690 7 |a surgical stress  |2 nationallicence 
700 1 |a Ilcol  |D Yesim Ozarda  |u Department of Biochemistry and Clinical Biochemistry, Uludag University Medical School, Bursa, Turkey  |4 aut 
700 1 |a Uncu  |D Gurkan  |u Department of Obstetrics and Gynecology, Uludag University Medical School, Bursa, Turkey  |4 aut 
700 1 |a Goren  |D Suna  |u Department of Anesthesiology and Reanimation, Uludag University Medical School, Bursa, Turkey  |4 aut 
700 1 |a Sayan  |D Erkan  |u Department of Anesthesiology and Reanimation, Uludag University Medical School, Bursa, Turkey  |4 aut 
700 1 |a Ulus  |D Ismail H.  |u Department of Pharmacology and Clinical Pharmacology, Uludag University Medical School, Bursa, Turkey  |4 aut 
773 0 |t Clinical Chemical Laboratory Medicine  |d Walter de Gruyter  |g 42/12(2004-12-01), 1390-1395  |x 1434-6621  |q 42:12<1390  |1 2004  |2 42  |o cclm 
856 4 0 |u https://doi.org/10.1515/CCLM.2004.259  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ilcol  |D Yesim Ozarda  |u Department of Biochemistry and Clinical Biochemistry, Uludag University Medical School, Bursa, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Uncu  |D Gurkan  |u Department of Obstetrics and Gynecology, Uludag University Medical School, Bursa, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Goren  |D Suna  |u Department of Anesthesiology and Reanimation, Uludag University Medical School, Bursa, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sayan  |D Erkan  |u Department of Anesthesiology and Reanimation, Uludag University Medical School, Bursa, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ulus  |D Ismail H.  |u Department of Pharmacology and Clinical Pharmacology, Uludag University Medical School, Bursa, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Clinical Chemical Laboratory Medicine  |d Walter de Gruyter  |g 42/12(2004-12-01), 1390-1395  |x 1434-6621  |q 42:12<1390  |1 2004  |2 42  |o cclm 
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