Effect of selenium on the course of a postoperative period after liver transplantation

Objective: to study the effect of selenium on the course of a postoperative period in patients after orthotopic liver transplantation (OLT).Subjects and methods. The prospective controlled randomized study enrolled 30 patients after OLT. Selenium (Selenase, Biosyn) was administered in Group 1 (n = 1...

Full description

Saved in:
Bibliographic Details
Main Authors: M. Sh. Khubutia, S. V. Zhuravel, A. M. Talyzin, V. V. Kiselev, Ye. R. Dorofeyeva, N. K. Kuznetsova, A. V. Chzhao
Format: Article
Language:English
Published: N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department 2018-08-01
Series:Трансплантология (Москва)
Subjects:
Online Access:https://www.jtransplantologiya.ru/jour/article/view/258
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849252570569113600
author M. Sh. Khubutia
S. V. Zhuravel
A. M. Talyzin
V. V. Kiselev
Ye. R. Dorofeyeva
N. K. Kuznetsova
A. V. Chzhao
author_facet M. Sh. Khubutia
S. V. Zhuravel
A. M. Talyzin
V. V. Kiselev
Ye. R. Dorofeyeva
N. K. Kuznetsova
A. V. Chzhao
author_sort M. Sh. Khubutia
collection DOAJ
description Objective: to study the effect of selenium on the course of a postoperative period in patients after orthotopic liver transplantation (OLT).Subjects and methods. The prospective controlled randomized study enrolled 30 patients after OLT. Selenium (Selenase, Biosyn) was administered in Group 1 (n = 15) within 5 days operatively. The agent was not used in complex therapy in Group 2 (n = 15).Results. After OLT, the plasma levels of selenium were much more than the normal value. In Group 1, the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were significantly lower on day 3 after OLT and those of urea and creatinine significantly decreased by day 7. A significant difference was found in scores on day 7, as shown by the analysis of the patients' condition by the SOFA scale. The patients who needed venovenous hemodiafiltration (VVHDF) were more than in those who did not use selenium.Conclusion. Selenium levels considerably decrease after liver transplantation. Selenase has a hepatoprotective effect, alleviates the manifestations of a systemic inflammatory response, and reduces the frequency of VVHDF use.
format Article
id doaj-art-c00e89a64dbe4c0bb39ec842a1e6208e
institution Kabale University
issn 2074-0506
2542-0909
language English
publishDate 2018-08-01
publisher N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department
record_format Article
series Трансплантология (Москва)
spelling doaj-art-c00e89a64dbe4c0bb39ec842a1e6208e2025-08-20T03:56:36ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092018-08-0102151810.23873/2074-0506-2009-0-2-15-18247Effect of selenium on the course of a postoperative period after liver transplantationM. Sh. Khubutia0S. V. Zhuravel1A. M. Talyzin2V. V. Kiselev3Ye. R. Dorofeyeva4N. K. Kuznetsova5A. V. Chzhao6N.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareObjective: to study the effect of selenium on the course of a postoperative period in patients after orthotopic liver transplantation (OLT).Subjects and methods. The prospective controlled randomized study enrolled 30 patients after OLT. Selenium (Selenase, Biosyn) was administered in Group 1 (n = 15) within 5 days operatively. The agent was not used in complex therapy in Group 2 (n = 15).Results. After OLT, the plasma levels of selenium were much more than the normal value. In Group 1, the levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were significantly lower on day 3 after OLT and those of urea and creatinine significantly decreased by day 7. A significant difference was found in scores on day 7, as shown by the analysis of the patients' condition by the SOFA scale. The patients who needed venovenous hemodiafiltration (VVHDF) were more than in those who did not use selenium.Conclusion. Selenium levels considerably decrease after liver transplantation. Selenase has a hepatoprotective effect, alleviates the manifestations of a systemic inflammatory response, and reduces the frequency of VVHDF use.https://www.jtransplantologiya.ru/jour/article/view/258orthotopic liver transplantationselenium levelselenase
spellingShingle M. Sh. Khubutia
S. V. Zhuravel
A. M. Talyzin
V. V. Kiselev
Ye. R. Dorofeyeva
N. K. Kuznetsova
A. V. Chzhao
Effect of selenium on the course of a postoperative period after liver transplantation
Трансплантология (Москва)
orthotopic liver transplantation
selenium level
selenase
title Effect of selenium on the course of a postoperative period after liver transplantation
title_full Effect of selenium on the course of a postoperative period after liver transplantation
title_fullStr Effect of selenium on the course of a postoperative period after liver transplantation
title_full_unstemmed Effect of selenium on the course of a postoperative period after liver transplantation
title_short Effect of selenium on the course of a postoperative period after liver transplantation
title_sort effect of selenium on the course of a postoperative period after liver transplantation
topic orthotopic liver transplantation
selenium level
selenase
url https://www.jtransplantologiya.ru/jour/article/view/258
work_keys_str_mv AT mshkhubutia effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT svzhuravel effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT amtalyzin effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT vvkiselev effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT yerdorofeyeva effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT nkkuznetsova effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation
AT avchzhao effectofseleniumonthecourseofapostoperativeperiodafterlivertransplantation