Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1980 Aug;192(2):192–194. doi: 10.1097/00000658-198008000-00010

Liver function tests in surgical infection and malnutrition.

G R Royle, M G Kettlewell
PMCID: PMC1344851  PMID: 7406574

Abstract

Liver function tests were studied in chronically infected surgical patients, patients who recovered from infection, nonseptic malnourished patients and healthy control subjects. Liver function tests were abnormal in the septic patients but returned to normal values upon recovery from infection despite persistent loss of body weight. Malnourished, nonseptic patients similarly had normal liver function tests. These findings suggest that infection rather than accompanying malnutrition is the major cause of the abnormal liver function tests commonly observed in chronically septic surgical patients. Standard liver function tests may be helpful both in the diagnosis of occult intra-abdominal sepsis and also in indicating the efficacy of its treatment.

Full text

PDF
192

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Grant J. P., Cox C. E., Kleinman L. M., Maher M. M., Pittman M. A., Tangrea J. A., Brown J. H., Gross E., Beazley R. M., Jones R. S. Serum hepatic enzyme and bilirubin elevations during parenteral nutrition. Surg Gynecol Obstet. 1977 Oct;145(4):573–580. [PubMed] [Google Scholar]
  2. Hill G. L., Blackett R. L., Pickford I., Burkinshaw L., Young G. A., Warren J. V., Schorah C. J., Morgan D. B. Malnutrition in surgical patients. An unrecognised problem. Lancet. 1977 Mar 26;1(8013):689–692. doi: 10.1016/s0140-6736(77)92127-4. [DOI] [PubMed] [Google Scholar]
  3. MCLEAN A. E. Hepatic failure in malnutrition. Lancet. 1962 Dec 22;2(7269):1292–1294. doi: 10.1016/s0140-6736(62)90847-4. [DOI] [PubMed] [Google Scholar]
  4. Neale G., Caughey D. E., Mollin D. L., Booth C. C. Effects of intrahepatic and extrahepatic infection on liver function. Br Med J. 1966 Feb 12;1(5484):382–387. doi: 10.1136/bmj.1.5484.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Nunes G., Blaisdell F. W., Margaretten W. Mechanism of hepatic dysfunction following shock and trauma. Arch Surg. 1970 May;100(5):546–556. doi: 10.1001/archsurg.1970.01340230012003. [DOI] [PubMed] [Google Scholar]
  6. Royle G., Gill P. G. Metabolic changes following the intravenous infusion of Corynebacterium parvum in man. Cancer. 1979 Apr;43(4):1328–1330. doi: 10.1002/1097-0142(197904)43:4<1328::aid-cncr2820430422>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
  7. Scrimshaw N. S. Synergistic and antagonistic interactions of nutrition and infection. Fed Proc. 1966 Nov-Dec;25(6):1679–1681. [PubMed] [Google Scholar]
  8. Utili R., Abernathy C. O., Zimmerman H. J. Endotoxin effects on the liver. Life Sci. 1977 Feb 15;20(4):553–568. doi: 10.1016/0024-3205(77)90458-1. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES