Insulin resistance and platelet count/spleen diameter ratio: Two simple, easy-to-get tests for predicting esophageal varices in cirrhosis
✍ Scribed by Xiaohua Li; Kaichun Wu; Daiming Fan
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 45 KB
- Volume
- 49
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
✦ Synopsis
It is likely that the consequences of the multiple immune reactions induced by the presence of bacterial DNA may be indeed different according to the field of research. Patients with advanced cirrhosis are characterized by a marked immune and hemodynamic instability. This fact makes them even more sensitive to the presence of bacterial DNA and likely other bacterial products that may further promote instability than patients without cirrhosis. According to our level of actual knowledge, it is not possible to assess which, among many, are the main reasons promoting a poor prognosis in patients with presence of bacterial DNA. New and multiple lines of research will be needed to answer these and probably many other questions that will likely arise in the future.