Assessment of adrenal function in cirrhotic patients with spontaneous bacterial peritonitis
Joint Authors
Badr al-Din, Basmah
Shuayr, Muhammad
Khalil, Khalil A.
Fahmi, Iman M.
Umar, Siham A.
Source
Suez Canal University Medical Journal
Issue
Vol. 21, Issue 2 (31 Dec. 2018), pp.107-112, 6 p.
Publisher
Suez Canal University Faculty of Medicine
Publication Date
2018-12-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background : One of the subjects that has become a big issue in recent years is adrenal Insuffi-ciency in cirrhotic patients, it is evidenced that there is an argument association between cir-rhotic patients with spontaneous bacterial peritonitis and adrenocortical dysfunction.
Aim : to assess adrenal function in chronic liver disease patients with spontaneous bacterial peritonitis to measure hepato-adrenal syndrome problem in our patients.
Subjects and Methods: cross sectional analytic study was carried out including 160 persons divided into 4 groups, 40 pa-tients for each.
Group1(healthy or control group), Group2 (Patients with compensated liver disease), Group 3 (patients with cirrhotic liver disease and sterile ascites and Group 4( patients with cirrhotic liver disease and spontaneous bacterial peritonitis), Then serum cortisol level was assessed for each group at 8a.m , 8p.m and post synacthen test then the comparison was held to assess adrenal function among them.
Results: Our study revealed statistically signifi-cant differences between the comparative groups with pre and post synacthen test where adrenal insufficiency was clear.
P-value was (0.001), mean value of total neutrophilic count (p =< 0.001), relation between adrenal insufficiency and Child-Pugh score (p = < 0.001).
Conclu-sion: Spontaneous bacterial peritonitis plays a very major role in adrenal insufficiency.
American Psychological Association (APA)
Fahmi, Iman M.& Khalil, Khalil A.& Shuayr, Muhammad& Umar, Siham A.& Badr al-Din, Basmah. 2018. Assessment of adrenal function in cirrhotic patients with spontaneous bacterial peritonitis. Suez Canal University Medical Journal،Vol. 21, no. 2, pp.107-112.
https://search.emarefa.net/detail/BIM-959157
Modern Language Association (MLA)
Fahmi, Iman M.…[et al.]. Assessment of adrenal function in cirrhotic patients with spontaneous bacterial peritonitis. Suez Canal University Medical Journal Vol. 21, no. 2 (2018), pp.107-112.
https://search.emarefa.net/detail/BIM-959157
American Medical Association (AMA)
Fahmi, Iman M.& Khalil, Khalil A.& Shuayr, Muhammad& Umar, Siham A.& Badr al-Din, Basmah. Assessment of adrenal function in cirrhotic patients with spontaneous bacterial peritonitis. Suez Canal University Medical Journal. 2018. Vol. 21, no. 2, pp.107-112.
https://search.emarefa.net/detail/BIM-959157
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 111-112
Record ID
BIM-959157