Aortic Aneurysm Repair Is Associated with a Lower Inflammatory Response Compared with Surgery for Inflammatory Bowel Disease

• Published in: European surgical research Vol. 36; no. 5; pp. 266 - 273
• Main Authors: Oldenburg, H.S.A., Siroen, M.P.C., Boelens, P.G., Sluijter, B.J.R., Pruitt, J.H., Naseri, A.H., Rauwerda, J.A., Meijer, S., Cuesta, M.A., van Leeuwen, P.A.M., Moldawer, L.L.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.09.2004; S. Karger AG
• Subjects: Adult; Aged; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aortic Aneurysm, Abdominal - blood; Aortic Aneurysm, Abdominal - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Digestive System Surgical Procedures - adverse effects; Diseases of the aorta; Female; Gastroenterology. Liver. Pancreas. Abdomen; General aspects; Haptoglobins - metabolism; Humans; Inflammation - etiology; Inflammatory bowel disease; Inflammatory Bowel Diseases - blood; Inflammatory Bowel Diseases - surgery; Interleukins - blood; Male; Medical sciences; Middle Aged; Original Paper; Other diseases. Semiology; Phospholipases A - blood; Postoperative Period; Prospective Studies; Receptors, Tumor Necrosis Factor, Type I - blood; Receptors, Tumor Necrosis Factor, Type II - blood; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Vascular Surgical Procedures - adverse effects; Inflammatory bowel disease; Surgical injury; Cytokines; Laparoscopic cholecystectomy; Abdominal aortic aneurysm; Cardiovascular disease; Aortic aneurysm; Inflammatory disease; Arterial disease; Vascular disease; Abdominal aorta; Aorta aneurysm; Association; Surgery; Intestinal disease; Anesthesia; Gallbladder; Endoscopy; Repair; Resuscitation; Cholecystectomy; Cytokine; Inflammation; Laparoscopy; Medicine; Crohn disease; Treatment; Digestive diseases; Lesion; Aortic disease; Comparative study; Ulcerative colitis
• ISSN: 0014-312X; 1421-9921
• DOI: 10.1159/000079911

Background: Since the plasma cytokine profile reflects the body’s inflammatory response to injury, this study was designed to prospectively observe the plasma cytokine levels in response to the degree of different sorts of abdominal surgical trauma. Methods: Plasma levels of TNF-α, type I TNF receptor (p55), type II TNF receptor (p75), IL-6, IL-8, IL-10, phospholipase A 2 (PLA 2 ), and haptoglobin were measured peri-operatively in patients undergoing bowel resection for inflammatory bowel disease or diverticulitis (IBD) (n = 9), elective repair of abdominal aortic aneurysm (AAA) (n = 9), or laparoscopic cholecystectomy (lap chole) (n = 9). Results: The IBD patients showed a significant (p < 0.05) post-operative elevation in plasma IL-6, p55, p75, and PLA 2 levels, but no significant change in TNF-α, IL-8, IL-10 or haptoglobin levels. The AAA patients had a significant post-operative rise in IL-10 levels and a significant decrease in plasma haptoglobin levels, but no significant change of TNF-α, IL-6, IL-8, p55, p75, or PLA 2 concentrations. The lap chole patients demonstrated no significant change in any of these parameters. Conclusion: These data show that IL-6, IL-10, p55, and p75 are markers to measure the degree of inflammatory stress associated with abdominal operative procedures and demonstrate the relative lack of a cytokine response to laparoscopic cholecystectomy.