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• W2142778330 abstract "Cirrhotic patients exhibit disturbed melatonin homeostasis, which may lead to sleep disturbances, but an influence on the hepatic encephalopathy has not been elucidated. Aim . In the present study, the association of melatonin levels in serum and ascitic fluid and ammonia concentration related to the intensity of hepatic encephalopathy (HE) was investigated. Material and Methods . The study included 90 alcoholic patients with hepatic encephalopathy and 30 healthy volunteers (C). Patients were divided in three groups according to 0–4 West-Haven Score: HE 1 (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>28</mml:mn></mml:math>), HE 2 (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>30</mml:mn></mml:math>), and HE 3 (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>32</mml:mn></mml:math>). Melatonin was measured by radioimmune assay. Results . In fasting patients with hepatic encephalopathy we noted higher melatonin serum levels [pg/mL] than in healthy subjects groups: C—11.3 ± 3.9, HE 1 – 34.3 ± 12.2<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mrow><mml:mo stretchy=false>(</mml:mo><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.01</mml:mn></mml:mrow><mml:mo stretchy=false>)</mml:mo></mml:mrow></mml:math>, HE 2 —54.8 ± 23.9, and HE 3 —119.8 ± 96.4<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mrow><mml:mo stretchy=false>(</mml:mo><mml:mrow><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.001</mml:mn></mml:mrow><mml:mo stretchy=false>)</mml:mo></mml:mrow></mml:math>. No correlation between melatonin and ammonia levels was found. Melatonin was detected in ascetic fluid in 24 patients of group HE 2 and 27 patients of group HE 2 of hepatic encephalopathy. Conclusions . Our results suggest that high blood levels of melatonin in cirrhotic liver patients may account for some of the clinical manifestations of hepatic encephalopathy, for example, daytime sleepiness, fatigue." @default.
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• W2142778330 date "2012-01-01" @default.
• W2142778330 modified "2023-09-23" @default.
• W2142778330 title "Melatonin Levels in Serum and Ascitic Fluid of Patients with Hepatic Encephalopathy" @default.
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• W2142778330 doi "https://doi.org/10.1155/2012/510764" @default.
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