Plasma lipids in extra hepatic biliary obstruction.
Detailed studies of plasmsa lipids and lipoproteins were carried out on a large number of patients with proven extra hepatic biliary obstruction (EHO) to determine if changes are confined to the phospholipids and cholesterol fractions or whether the hypertriglyceridaemia, found previously in isolated studies, is present consistently and to a significant degree. Plasma lipids were also compared before and after surgical relief of the obstruction. In 15 patients with EHO (aged 16 to 78 years), compared to 23 controls (aged 18 to 63 years), there was an increase in total cholesterol due to an increase in the unesterified fraction, increase in unesterified to esterified cholesterol ratio, increase in phospholipids and increase in phospholipid to cholesterol ratio. The most striking finding was a marked and persistent elevation of triglyceride. Furthermore the increase in triglyceride was of a similar magnitude to cholesterol and phospholipid. Following relief of pbstruction the triglyceride returned to normal. The hypertriglyceridaemia in cases of EHO was associated with a clear serum and negative cold aggregation test in contrast to the changes in cases of endogenous (type IV) hypertriglyceridaemia. Hypertriglyceridaemia in EHO was associated with a broad beta fraction on the electrophoretogram. Lipoprotein-X was also detected and persisted after the relief of the obstruction despite the return of other lipid changes to normal.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000097:blood* / Q000601:surgery; D002784:Cholesterol / Q000097:blood; D002788:Cholesterol Esters / Q000097:blood; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood; D008055:Lipids / Q000097:blood*; D008077:Lipoproteins, LDL / Q000097:blood; D008079:Lipoproteins, VLDL / Q000097:blood; D008297:Male; D008875:Middle Aged; D010743:Phospholipids / Q000097:blood; D014280:Triglycerides / Q000097:blood
D002788:Cholesterol Esters; D008055:Lipids; D008077:Lipoproteins, LDL; D008079:Lipoproteins, VLDL; D010743:Phospholipids; D014280:Triglycerides; D002784:Cholesterol