2008
Bacterial Infections, Sepsis, and Multiorgan Failure in Cirrhosis
Tandon P, Garcia-Tsao G. Bacterial Infections, Sepsis, and Multiorgan Failure in Cirrhosis. Seminars In Liver Disease 2008, 28: 026-042. PMID: 18293275, DOI: 10.1055/s-2008-1040319.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsBacteriaBacterial InfectionsBacterial TranslocationHumansImmunityInpatientsLiver CirrhosisMultiple Organ FailurePrevalenceRisk FactorsSepsisUnited StatesConceptsSpontaneous bacterial peritonitisBacterial infectionsMultiorgan failureBacterial translocationSystemic inflammatory response syndromeHigh-risk patientsInflammatory response syndromeHyperdynamic circulatory stateRole of antibioticsAdrenal insufficiencyBacterial peritonitisImportant complicationResponse syndromeBacterial overgrowthCirculatory stateClinical featuresCommon infectionsRisk factorsRole of albuminCirrhosisPrognostic modelInfectionSepsisComplicationsPatients
2005
Sepsis in cirrhosis: report on the 7th meeting of the International Ascites Club
Wong F, Bernardi M, Balk R, Christman B, Moreau R, Garcia-Tsao G, Patch D, Soriano G, Hoefs J, Navasa M. Sepsis in cirrhosis: report on the 7th meeting of the International Ascites Club. Gut 2005, 54: 718. PMID: 15831923, PMCID: PMC1774473, DOI: 10.1136/gut.2004.038679.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsGastrointestinal bleedSepsis syndromeBacterial infectionsInternational Ascites ClubElevated D-dimerSystemic inflammatory responseSpontaneous bacterial peritonitisFurther tissue injuryPresence of infectionNitric oxide synthaseTumor necrosis factorUse of antibioticsUse of albuminSubclinical coagulopathyProphylactic antibioticsRenal impairmentCirrhotic patientsLiver dysfunctionRenal failureBacterial peritonitisBacterial translocationD-dimerReticuloendothelial functionProduction of superoxideInflammatory responseBacterial translocation (BT) in cirrhosis
Wiest R, Garcia‐Tsao G. Bacterial translocation (BT) in cirrhosis. Hepatology 2005, 41: 422-433. PMID: 15723320, DOI: 10.1002/hep.20632.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsBacterial TranslocationDecontaminationHumansImmunity, InnateIntestinal MucosaIntestinesLiver CirrhosisNitric OxideProbioticsConceptsComplications of cirrhosisBacterial translocationPrevention of BTMucosal barrier functionAdaptive immune responsesPrevention of infectionNew therapeutic targetsImmunological defense mechanismsHuman cirrhosisIntestinal pathophysiologyCirrhosisImmune responseTherapeutic approachesIntestinal floraTherapeutic targetAnatomical sitesGut floraBarrier functionComplicationsMultiple mechanismsPathogenesisPreventionCurrent knowledgeDefense mechanismsAlterations
2003
Bacterial translocation up‐regulates GTP‐cyclohydrolase I in mesenteric vasculature of cirrhotic rats
Wiest R, Cadelina G, Milstien S, McCuskey RS, Garcia‐Tsao G, Groszmann RJ. Bacterial translocation up‐regulates GTP‐cyclohydrolase I in mesenteric vasculature of cirrhotic rats. Hepatology 2003, 38: 1508-1515. PMID: 14647062, DOI: 10.1016/j.hep.2003.09.039.Peer-Reviewed Original ResearchConceptsBacterial translocationMesenteric lymph nodesMesenteric vasculatureGTPCH I activitySerum endotoxinCirrhotic ratsNitric oxideSerum NOx levelsVascular NO productionStandard bacteriologic cultureEssential cofactor tetrahydrobiopterinLimulus amebocyte lysate assayArterial vasodilationArterial pressureLymph nodesHemodynamic disturbancesMesenteric circulationSystemic appearanceEndotoxemiaNO productionBacteriologic cultureNOx levelsCofactor tetrahydrobiopterinEndotoxinLysate assayEffect of Lactobacillus-Fermented Diets on Bacterial Translocation and Intestinal Flora in Experimental Prehepatic Portal Hypertension
Wiest R, Chen F, Cadelina G, Groszmann R, Garcia-Tsao G. Effect of Lactobacillus-Fermented Diets on Bacterial Translocation and Intestinal Flora in Experimental Prehepatic Portal Hypertension. Digestive Diseases And Sciences 2003, 48: 1136-1141. PMID: 12822876, DOI: 10.1023/a:1023729115659.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsBacterial TranslocationDietHypertension, PortalIntestinesLactobacillus acidophilusLigationPortal VeinRatsYogurtConceptsPrehepatic portal hypertensionBacterial translocationPortal hypertensionEffect of LactobacillusIntestinal floraBacterial overgrowthExperimental prehepatic portal hypertensionBacterial translocation ratesLactobacillus-fermented milkGut mucosal barrierAcute liver injuryIntestinal bacterial overgrowthGut-derived bacteriaMucosal barrier functionPortal vein ligationSpontaneous bacterial infectionsLactobacillus GGLiver injuryLymph nodesVein ligationMucosal barrierPortal veinRat modelDay 7Standard bacteriological cultures
2001
Prokinetics reduce bacterial translocation in cirrhosis: Will sweeping the gut keep the fluid clean?
García-Tsao G. Prokinetics reduce bacterial translocation in cirrhosis: Will sweeping the gut keep the fluid clean? Gastroenterology 2001, 120: 314-315. PMID: 11208746, DOI: 10.1016/s0016-5085(01)70334-4.Commentaries, Editorials and Letters
1999
Bacterial translocation in cirrhotic rats stimulates eNOS-derived NO production and impairs mesenteric vascular contractility
Wiest R, Das S, Cadelina G, Garcia-Tsao G, Milstien S, Groszmann R. Bacterial translocation in cirrhotic rats stimulates eNOS-derived NO production and impairs mesenteric vascular contractility. Journal Of Clinical Investigation 1999, 104: 1223-1233. PMID: 10545521, PMCID: PMC409820, DOI: 10.1172/jci7458.Peer-Reviewed Original ResearchMeSH KeywordsAnimalsBacterial TranslocationDose-Response Relationship, DrugLiver Cirrhosis, ExperimentalLymph NodesMaleMesenteric ArteriesMethoxamineNitric OxideNitric Oxide SynthasePerfusionPressureProtein IsoformsRatsRats, Sprague-DawleyStress, MechanicalTumor Necrosis Factor-alphaVasoconstrictionVasoconstrictor AgentsConceptsMesenteric lymph nodesEndothelial NO synthaseTNF-alpha productionAscitic cirrhotic ratsBacterial translocationCirrhotic ratsMesenteric vasculatureNitric oxidePresence of BTSuperior mesenteric arterial bedMesenteric arterial bedNitro-L-arginineTNF-alpha synthesisVascular hyporesponsivenessArterial vasodilationLiver cirrhosisLymph nodesVascular contractilityVascular responsesTNF-alphaArterial bedNO inhibitorNOS activityNO overproductionNO synthaseIdentifying new risk factors for spontaneous bacterial peritonitis: How important is it?
Garcia–Tsao G. Identifying new risk factors for spontaneous bacterial peritonitis: How important is it? Gastroenterology 1999, 117: 495-499. PMID: 10419933, DOI: 10.1053/gast.1999.0029900495.Commentaries, Editorials and Letters