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Bile Acids in Health and Disease - Update on Cholesterol Gallstones and Bile Acid Diarrhoea (Paperback, Softcover reprint of the original 1st ed. 1988)
Loot Price: R1,549
Discovery Miles 15 490
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Bile Acids in Health and Disease - Update on Cholesterol Gallstones and Bile Acid Diarrhoea (Paperback, Softcover reprint of the original 1st ed. 1988)
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Bile acids occupy a central position in in the absorption,
excretion and metab olism of lipids within the body. Our
understanding of their unique properties has illuminated many
biochemical and biophysical processes. Animals have evolved a
unique system of preserving these important detergent-like
molecules within the body and reusing them many times - the
enterohepatic circulation. Disorders of the enterohepatic
circulation contribute to a correspondingly wide range of diseases,
and recent developments have centred in particular on cholesterol
gallstone disease and bile acid diarrhoea. Successful manage ment
of these diseases is increasingly based on an understanding of the
physicochemical and biochemical properties of bile acids, and of
their pathophysiological role in disease. Professor Alan Hofmann
starts this book with an overview of the enterohepatic circulation
of bile acids. The first section then discusses biliary lipid
synthesis, transport and secretion by the liver and the
solubilisation of cholesterol in the bile. The next section applies
this knowledge to the pathogenesis of cholesterol gallstones.
Separate chapters focus on defects in biliary lipid secretion, in
cholesterol solubilisation and in gallbladder motility. The
succeeding sections then review posssible approaches to gallstone
prevention, and assess recent developments in non-surgical forms
oftreatment. Two exciting new therapies that receive particular
attention are contact dissolution therapy with methyl tert-butyl
ether and extracorporeal shock wave lithotripsy. Further sections
turn to the absorptive functions of bile acids in health."
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