Role of pancreatic enzymes in the development of multiple organ failure after shock

The gastrointestinal tract has been implicated as one of the main organ systems involved in the initiation of the acute inflammatory response that often follows shock. The exocrine functions of the pancreas include the secretion of digestive enzymes into the duodenal lumen. These intraluminal pancre...

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Veröffentlicht in:Journal of organ dysfunction 2008, Vol.4 (3), p.161-167
Hauptverfasser: Malinoski, Darren J., Barrios, Cristobol, Kim, Hubert D., Acosta, Jose A., Schmid-Schonbein, Geert W., Hugli, Tony E., Coimbra, Raul, Hoyt, David B.
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container_end_page 167
container_issue 3
container_start_page 161
container_title Journal of organ dysfunction
container_volume 4
creator Malinoski, Darren J.
Barrios, Cristobol
Kim, Hubert D.
Acosta, Jose A.
Schmid-Schonbein, Geert W.
Hugli, Tony E.
Coimbra, Raul
Hoyt, David B.
description The gastrointestinal tract has been implicated as one of the main organ systems involved in the initiation of the acute inflammatory response that often follows shock. The exocrine functions of the pancreas include the secretion of digestive enzymes into the duodenal lumen. These intraluminal pancreatic enzymes may play a pivotal role in the pathogenesis of multiorgan failure after shock. This article reviews the literature surrounding the hypothesis that digestive enzymes produced by the pancreas are involved in the initiation of the systemic inflammatory response after shock and, ultimately, contribute to multiorgan failure and death.
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source Taylor & Francis:Master (3349 titles)
subjects Inflammation
pancreas
pancreatic duct ligation
proteases
serine protease inhibitors
shock
title Role of pancreatic enzymes in the development of multiple organ failure after shock
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