0 stringlengths 12 494 | embeddings listlengths 384 384 |
|---|---|
depleted\tstatus,\tand\tmuscle\twasting.\tHowever,\tprotein\tkinetic\tstudies\tdemonstrate\tincreased\tnitrogen\tlosses\tonly\tin\npatients\twith\tfulminant\thepatic\tfailure\tor\tdecompensated\tdisease,\tbut\tnot\tin\tstable\tcirrhosis.\nPatients\twith\tcirrhosis\talso\thave\tincreased\tprotein\tutilization.\tStudies\... | [
-0.002950924215838313,
-0.05165265500545502,
0.04201512411236763,
-0.0014025004347786307,
-0.09278642386198044,
-0.015006601810455322,
0.057130116969347,
0.08336804807186127,
-0.01740015670657158,
0.05807976797223091,
0.09220924973487854,
-0.03900670260190964,
0.014241337776184082,
0.04039... |
mean\tprotein\trequirement\tto\tachieve\tnitrogen\tbalance\tin\tstable\tcirrhosis.\n\tTherefore\tin\tuncomplicated\thepatitis\tor\ncirrhosis\twith\tor\twithout\tencephalopathy,\tprotein\trequirements\trange\tfrom\t1\tto\t1.5\tg/kg\tof\tideal\tweight\tper\tday\n(\nAmodio\tet\tal,\t2013\n). | [
0.02224370278418064,
-0.09123121201992035,
0.009666437283158302,
-0.0031061212066560984,
-0.11798720061779022,
-0.006530632730573416,
0.05095244199037552,
0.12041912972927094,
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0.04949231445789337,
0.10791826248168945,
-0.029316190630197525,
0.03395845368504524,
0.0854... |
(\nAmodio\tet\tal,\t2013\n).\nTo\tpromote\tnitrogen\taccumulation\tor\tpositive\tbalance,\tat\tleast\t1.2\tto\t1.3\tg/kg\tdaily\tis\tneeded.\tIn\tsituations\tof\nstress\tsuch\tas\talcoholic\thepatitis\tor\tdecompensated\tdisease\t(sepsis,\tinfection,\tgastrointestinal\tbleeding,\tor\n\tsevere | [
-0.006539805326610804,
-0.08862648159265518,
-0.014060267247259617,
-0.025117240846157074,
-0.0755038857460022,
0.005707951262593269,
0.0360199436545372,
0.05020083859562874,
-0.07124978303909302,
0.07536535710096359,
0.11266344040632248,
-0.030498536303639412,
-0.010371401906013489,
0.075... |
severe\nascites),\tat\tleast\t1.5\tg\tof\tprotein\tper\tkg\tper\tday\tshould\tbe\tprovided.\tSmall\tfrequent\tmeals\tnot\tonly\tprovide\tadditional\ncalories\tbut\talso\tprevent\tgluconeogenesis\tand\twasting\tof\tmuscle\t(\nAmodio\tet\tal,\t2014\n).\nVitamins\tand\tminerals | [
-0.029917612671852112,
-0.06059760972857475,
0.04971253499388695,
-0.013017596676945686,
-0.047620419412851334,
0.0022382549941539764,
0.07181888073682785,
0.13656114041805267,
-0.038487035781145096,
0.024987850338220596,
0.1014045923948288,
0.012460601516067982,
0.04250822216272354,
0.050... |
Amodio\tet\tal,\t2014\n).\nVitamins\tand\tminerals\nVitamin\tand\tmineral\tsupplementation\tshould\tbe\tconsidered\tfor\tall\tpatients\twith\tESLD\tbecause\tof\tthe\tessential\trole\tof\nthe\tliver\tin\tnutrient\ttransport,\tstorage,\n\tand\tmetabolism,\tin\taddition\tto\tthe\tpresence\tof\tnutrient\tdepletions\tdue\tt... | [
-0.020306292921304703,
-0.07409518212080002,
0.027021586894989014,
-0.007660496514290571,
-0.040013689547777176,
0.017142292112112045,
0.12224231660366058,
0.10223191976547241,
-0.013613884337246418,
0.004912605043500662,
0.09104712307453156,
0.014183749444782734,
0.064765565097332,
0.0649... |
drugs\t(\nTable\t28.4\n).\tVitamin\tdeficiencies\tcan\tcontribute\tto\tcomplications.\tFor\texample,\tfolate\tand\tvitamin\tB\n12\ndeficiencies\tcan\tlead\tto\tmacrocytic\tanemia.\tDeficiency\tof\tpyridoxine,\tthiamin,\tor\tvitamin\tB\n12\n\tcan\tresult\tin\nneuropathy.\tConfusion,\tataxia,\tand\tocular\tdisturbances\t... | [
-0.004015862010419369,
-0.06863463670015335,
-0.006870890501886606,
0.012122592888772488,
-0.06118793040513992,
-0.014790129847824574,
0.03589055314660072,
0.09005536139011383,
-0.08719509094953537,
0.01463073119521141,
0.04029771313071251,
0.014741701073944569,
0.017222506925463676,
0.067... |
TABLE\t28.4\nVitamin\tand\tMineral\tDeficits\tin\tSevere\tHepatic\tFailure\nVitamin\tor\nMineral\nPredisposing\tFactors\nSigns\tof\tDeficiency\t(See\n\t\nAppendix\t21\n)\nVitamin\tA\nSteatorrhea,\tneomycin,\ncholestyramine,\nalcoholism\nNight\tblindness,\tincreased\tinfection\trisk\nVitamin\tB\n1\n(thiamine)\nAlcoholis... | [
0.001124627306126058,
-0.13056619465351105,
-0.0021722714882344007,
-0.002297559753060341,
-0.05950202792882919,
0.00258048577234149,
0.04198167100548744,
0.08316890895366669,
-0.049305062741041183,
0.026147840544581413,
0.050361670553684235,
-0.02988547272980213,
0.04516518488526344,
0.03... |
Vitamin\tB\n1\n(thiamine)\nAlcoholism,\thigh-\ncarbohydrate\tdiet\nNeuropathy,\tascites,\tedema,\tcentral\tnervous\tsystem\t(CNS)\tdysfunction\nVitamin\tB\n3\n\t(niacin)\nAlcoholism\nDermatitis,\tdementia,\tdiarrhea,\tinflammation\tof\tmucous\tmembranes\nVitamin\tB\n6\n(pyridoxine)\nAlcoholism\nMucous\tmembrane\tlesion... | [
-0.021120710298419,
-0.14443764090538025,
0.015685318037867546,
0.02115260809659958,
-0.04946809634566307,
0.017945442348718643,
0.02671012096107006,
0.08713739365339279,
-0.07656466215848923,
0.059046290814876556,
-0.0028998027555644512,
-0.027100177481770515,
0.05034904181957245,
0.06131... |
Mucous\tmembrane\tlesions,\tseborrheic\tdermatitis,\tglossitis,\tangular\nstomatitis,\tblepharitis,\tperipheral\tneuropathy,\tmicrocytic\tanemia,\ndepression\nVitamin\tB\n12\n(cyanocobalamin)\nAlcoholism,\ncholestyramine\nMegaloblastic\tanemia,\tglossitis,\tCNS\tdysfunction\nFolate\nAlcoholism\nMegaloblastic\tanemia,\t... | [
0.004648312460631132,
-0.08162663131952286,
0.01472257450222969,
0.010128792375326157,
-0.08342643082141876,
0.020962202921509743,
0.0017174782697111368,
0.12186264991760254,
-0.058960795402526855,
0.04591221362352371,
-0.010377570055425167,
-0.03845475614070892,
0.06208617612719536,
0.063... |
Megaloblastic\tanemia,\tglossitis,\n\tirritability\nVitamin\tD\nSteatorrhea,\nglucocorticoids,\ncholestyramine\nOsteomalacia,\trickets\t(in\tchildren),\tpossible\tlink\tto\tcancer\tor\tautoimmune\ndisorders\nVitamin\tE\nSteatorrhea,\ncholestyramine\nPeripheral\tneuropathy,\tataxia,\tskeletal\tmyopathy,\tretinopathy,\ti... | [
0.01720265857875347,
-0.11000632494688034,
0.015741102397441864,
-0.016763556748628616,
-0.08884841203689575,
-0.0008974533993750811,
0.024411724880337715,
0.11724405735731125,
-0.08612869679927826,
0.05577395111322403,
0.05094742402434349,
0.006131203379482031,
0.021039200946688652,
0.058... |
system\timpairment\nVitamin\tK\nSteatorrhea,\tantibiotics,\ncholestyramine\nExcessive\tbleeding,\tbruising\nIron\nChronic\tbleeding\nStomatitis,\n\tmicrocytic\tanemia,\tmalaise\nMagnesium\nAlcoholism,\tdiuretics\nNeuromuscular\tirritability,\thypokalemia,\thypocalcemia\nPhosphorus\nAnabolism,\talcoholism\nAnorexia,\twe... | [
0.026141725480556488,
-0.08902020752429962,
0.00419158861041069,
0.006993975955992937,
-0.059565119445323944,
0.013662843033671379,
0.04801958054304123,
0.07246679812669754,
-0.07421977072954178,
0.041127197444438934,
0.015801914036273956,
0.006258912850171328,
0.0651690661907196,
0.016842... |
Anorexia,\tweakness,\tcardiac\tfailure,\tglucose\tintolerance\nZinc\nDiarrhea,\tdiuretics,\nalcoholism\nImmunodeficiency,\timpaired\ttaste\tacuity,\tdelayed\twound\thealing,\timpaired\nprotein\tsynthesis\nDeficiencies\tof\tfat-soluble\tvitamins\thave\tbeen\tfound\tin\n\tall\ttypes\tof\tliver\tfailure,\tespecially\tin\t... | [
0.03332243859767914,
-0.10276556760072708,
0.04243585467338562,
0.05446362495422363,
-0.14242751896381378,
-0.02454599365592003,
0.05669693276286125,
0.031314555555582047,
-0.10751637816429138,
0.06132303178310394,
0.06469901651144028,
-0.06445550173521042,
0.021598832681775093,
0.02343704... |
all\ttypes\tof\tliver\tfailure,\tespecially\tin\tcholestatic\tdiseases\tin\nwhich\tmalabsorption\tand\tsteatorrhea\toccur.\tImpaired\tdark\tadaptation\tcan\toccur\tfrom\tvitamin\tA\tdeficiency.\tHepatic\nosteodystrophy\tor\tosteopenia\tcan\tdevelop\tfrom\tvitamin\tD\tdeficiency.\tTherefore\tsupplementation\tis\tnecessa... | [
0.010087869130074978,
-0.10446090996265411,
0.05033257603645325,
-0.01412348821759224,
-0.0979958027601242,
-0.027445146813988686,
0.07645964622497559,
0.027283750474452972,
-0.01894981414079666,
0.06636717170476913,
0.10074300318956375,
-0.031066104769706726,
0.0010305913165211678,
0.0519... |
may\trequire\tusing\twater-miscible\tforms\tof\tfat\tsoluble\tvitamins.\tIntravenous\tor\tintramuscular\tvitamin\tK\toften\n\tis\tgiven\nfor\t3\tdays\tto\trule\tout\tvitamin\tK\tdeficiency\tas\tthe\tcause\tof\ta\tprolonged\tprothrombin\ttime.\tWater-soluble\tvitamin\ndeficiencies\tassociated\twith\tliver\tdisease\tincl... | [
-0.03923798352479935,
-0.10248781740665436,
0.04536513239145279,
-0.058758605271577835,
-0.04633110389113426,
-0.008760661818087101,
0.047892991453409195,
0.09225542098283768,
-0.04213584586977959,
0.029917940497398376,
0.08206897974014282,
-0.015300653874874115,
0.055870480835437775,
0.11... |
Wernicke\tencephalopathy\n),\tpyridoxine\n(B\n6\n),\tcyanocobalamin\t(B\n12\n),\tfolate,\tand\tniacin\t(B\n3\n).\tLarge\tdoses\t(100\tmg)\tof\tthiamin\tare\tgiven\tdaily\tfor\ta\tlimited\ttime\nif\tdeficiency\tis\tsuspected\t(see\t\nAppendices\t12\n\tand\t\n13\n).\nMineral\tnutriture\talso\tis\taltered\tin\tliver\tdise... | [
-0.025852501392364502,
-0.061869408935308456,
-0.004123551305383444,
0.003738017287105322,
-0.11444926261901855,
0.021740205585956573,
0.06349048018455505,
0.07809664309024811,
-0.034154366701841354,
0.018310224637389183,
0.06858184188604355,
-0.04232797026634216,
0.019380716606974602,
0.0... |
gastrointestinal\tbleeding;\thowever,\tiron\tsupplementation\tshould\tbe\tavoided\tby\tpersons\twith\themochromatosis\tor\nhemosiderosis\t(see\t\nChapter\t31\n).\tManganese\tdeposition\thas\tbeen\tnoted\tto\taccumulate\tin\tbrains\tof\tpatients\twith\ncirrhosis,\tleading\tto\timpaired\tmotor\tfunction\tand\tparkinsonis... | [
-0.010609420016407967,
-0.0930531844496727,
0.025400491431355476,
-0.0065329959616065025,
-0.12240835279226303,
-0.013918381184339523,
0.05430615320801735,
0.08356865495443344,
-0.035280436277389526,
0.05545646324753761,
0.07821382582187653,
0.029411017894744873,
0.018023112788796425,
0.04... |
and\tincreased\toccurrence\tof\thepatic\tencephalopathy\n(\nButterworth,\t2013\n;\t\nKobtan\tet\tal,\t2016\n;\t\nSureka\tet\tal,\t2015\n).\tElevated\tserum\tcopper\tlevels\tare\tfound\tin\tcholestatic\nliver\tdiseases\t(i.e.,\tPBC\tand\tPSC).\nIn\tWilson’s\tdisease,\texcess\tcopper\tin\tvarious\torgans\tcauses\tsevere\... | [
-0.015083270147442818,
-0.03560792654752731,
0.05403132364153862,
-0.03888696804642677,
-0.10589185357093811,
0.011488878168165684,
0.09085910022258759,
0.0031616396736353636,
-0.018426459282636642,
0.03196236491203308,
0.11358679831027985,
-0.09315700829029083,
0.033778898417949677,
0.042... |
administration\tof\toral\tchelating\tagents\tsuch\tas\td-penicillamine,\ttrientine,\tor\ttetrathiomolybdate.\n\tZinc\tacetate\tcan\nblock\tabsorption\tof\tcopper\tfrom\tfood\tbut\ttypically\tis\tused\twith\tone\tof\tthe\tchelating\tdrugs.\tDietary\tcopper\trestriction | [
0.009680998511612415,
-0.08314359188079834,
-0.04317375272512436,
-0.05920559540390968,
-0.08705221116542816,
0.0279222521930933,
0.09313835203647614,
0.03740432858467102,
-0.0076465425081551075,
0.07080013304948807,
0.07324010878801346,
-0.03754400089383125,
0.05921097844839096,
0.0324039... |
can\tbe\tuseful\tduring\tinitial\ttherapy.\tCopper\talso\tcan\tbe\tpresent\tin\twater\twhere\tcopper\tpipes\tare\tused.\tRunning\ttap\nwater\tfor\tseveral\tseconds\tbefore\tusing\tthe\twater\tcan\treduce\tcopper\tconcentrations.\nZinc\tand\tmagnesium\tlevels\tare\tlow\tin\tliver\tdisease\trelated\tto\n\talcoholism\tand... | [
0.0009011180372908711,
-0.058949559926986694,
0.053490400314331055,
-0.04033687710762024,
-0.07307039201259613,
-0.034992191940546036,
0.0778336152434349,
-0.04113530367612839,
-0.006794651970267296,
0.02489289455115795,
0.06559193134307861,
-0.07534473389387131,
0.02723141387104988,
0.045... |
alcoholism\tand\tdiuretic\ttherapy.\tCalcium,\tas\twell\tas\nmagnesium\tand\tzinc,\tmay\tbe\tmalabsorbed\twith\tsteatorrhea.\tTherefore\tthe\tpatient\tshould\ttake\tsupplements\tof\tthese\nminerals\tat\tleast\tat\tthe\tlevel\tof\tthe\tDRI.\nHerbal\tand\tdietary\tsupplements\tand\tliver\tdisease | [
0.03021077811717987,
-0.04498608410358429,
0.06393255293369293,
0.0005721441120840609,
-0.03582320734858513,
0.013656305149197578,
0.08877406269311905,
-0.06344087421894073,
-0.03081352449953556,
0.01923767291009426,
0.08771681040525436,
-0.04797806218266487,
0.0017287760274484754,
0.00757... |
Herbal\tand\tdietary\tsupplements\tand\tliver\tdisease\nHepatotoxicity\tis\tone\tof\tthe\tgreatest\tconcerns\tassociated\twith\therbal\tand\tdietary\tsupplementation.\tWhile\tmost\nculinary\therbs\tare\tsafe,\n\tthere\tare\tcase\treports\tof\tsome\therbal\tsupplements\tresulting\tin\tliver\tfailure\t(\nBox\t28.3\n).\tO... | [
0.012537600472569466,
-0.02658398263156414,
0.061250925064086914,
-0.008753638714551926,
-0.05303521826863289,
0.03703439235687256,
0.09263049066066742,
0.010114789009094238,
-0.006825566757470369,
0.06511890888214111,
0.07697020471096039,
0.020516114309430122,
0.00522598484531045,
-0.0260... |
Box\t28.3\n).\tOne\nreview\tlists\tmore\tthan\t150\therbal\tproducts\tthat\thave\tbeen\treported\tas\ta\tcause\tof\thepatotoxicity\t(\nTeschke\tet\tal,\n2013\n).\tThis\textensive\tlist\temphasizes\tthe\tgravity\tof\tthe\tpotential\tfor\tharm\tto\tthe\tliver\tfrom\tsome\therbal\tproducts,\tso\npractitioners\tshould\tbe\... | [
-0.006430956535041332,
-0.049193739891052246,
0.013150879181921482,
-0.04476248845458031,
-0.0832040086388588,
0.029303720220923424,
0.08318134397268295,
0.02634907327592373,
-0.005993808154016733,
0.03847179561853409,
0.08666488528251648,
-0.004836949519813061,
0.039739515632390976,
0.014... |
BOX\t28.3\nSelected\tHerbal\tSupplements\tAssociated\tWith\tHepatotoxicity\nBaikal\tskullcap\t(\nScutellaria\n)\nChaparral\t(\nLarrea\ttridentate\n)\nPyrrolizidine\talkaloids\t(found\tin\therbs\tof\tthe\t\nCompositae,\tLeguminosae,\tBoraginaceae\n\tfamily)\nComfrey\t(\nSymphytum\tofficinale\n)\nHeliotropium\nCrotalaria... | [
-0.033847298473119736,
-0.01541824359446764,
0.026648737490177155,
0.012344986200332642,
-0.041006509214639664,
0.015669051557779312,
-0.021175425499677658,
-0.030831418931484222,
0.03406960144639015,
0.08400463312864304,
0.15208867192268372,
-0.0699029192328453,
-0.011976507492363453,
0.0... |
Crotalaria\nGermander\t(\nTeucrium\tchamaedrys\n)\nGreater\tcelandine\t(\nChelidonium\tmajus\n)\nSaw\tpalmetto\t(\nSerenoa\trepens\n)\nNoni\n\tjuice\t(\nMorinda\tcitrifolia\n)\nMargosa\toil\t(\nAntelaea\tazadirachta\n)\nAloe\tvera\t(aloe\tlatex)\nBlack\tcohosh\t(\nActea\tracemosa\n\tor\t\nActea\tcimicifuga\n) | [
-0.05720973014831543,
-0.027450283989310265,
0.025700872763991356,
-0.03304848447442055,
-0.03548170253634453,
0.03445371612906456,
0.009194734506309032,
-0.001907676924020052,
-0.006957675330340862,
0.042385220527648926,
0.1369583159685135,
-0.08897104114294052,
-0.015437372028827667,
-0.... |
LipoKinetix\t(\nusnic\tacid\n)\nAtractylis\tgummifera\nImpila\t(\nCallilepis\tlaureola\n)\nMistletoe\t(\nViscum\talbum\n)\nValerian\t(\nValerian\tofficinalis\n)\nSenna\t(\nCassia\tangustifolia\n)\nPennyroyal\t(squaw\tmint\toil)\nKava\t(\nPiper\tmethysticum\n)\nLiatris\tcallilepis\nGreen\ttea\textract\n\t(\nCamellia\tsi... | [
-0.047351446002721786,
-0.07536143809556961,
0.027880007401108742,
-0.018933501094579697,
-0.11877425014972687,
0.024885954335331917,
0.027291985228657722,
-0.023826327174901962,
0.005018420051783323,
0.052880413830280304,
0.15553167462348938,
-0.08374952524900436,
-0.021857233718037605,
0... |
),\talthough\tgreen\ttea\tin\treasonable\tamounts\tappears\tsafe\nCascara\tsagrada\nOxyElite\tPro\nJin\tBu\tHuan\t(\nLycopodium\tserratum\n)\nMa\tHuang\t(\nEphedra\tsinica\n)\nDai-saiko-to\t(\nSho-saiko-to\n)\nHydroxycut\nLipoKinetix\t(Syntrax\tInnovations,\tInc,\tCape\tGirardeau,\tMO),\tOxyElite\tPro\t(USP\tLabs,\tLLC... | [
-0.05792215093970299,
-0.08151674270629883,
0.02417280524969101,
-0.03757864609360695,
-0.10232503712177277,
0.01272859051823616,
0.08989007025957108,
0.03671455755829811,
0.039980389177799225,
0.0336582213640213,
0.11816789209842682,
0.005655296146869659,
0.012113140895962715,
0.022735698... |
Health\tSciences\tUSA,\tInc,\tBlasdell,\tNY).\t\nReprinted\twith\tpermission\n\tfrom:\tCorey\tRL,\tRakela\tJ:\tComplementary\tand\talternative\tmedicine:\trisks\tand\tspecial\nconsiderations\tin\tpre-\tand\tpost-transplant\tpatients,\t\nNutr\tClin\tPract\n\t29:322,\t2014.\nOther\tdietary\tproducts\talso\thave\tbeen\tim... | [
-0.05160326510667801,
-0.0013543486129492521,
0.021314166486263275,
-0.04344338923692703,
-0.09317275881767273,
0.008327946066856384,
0.08403027057647705,
0.06369692087173462,
-0.02877659909427166,
-0.01684316247701645,
0.0961955115199089,
-0.03532951697707176,
0.013942886143922806,
-0.016... |
cambogia,\tHerbalife\tproducts,\tHydroxycut,\tand\tOxyElite\tPro\t(\nCrescioli\tet\tal,\t2018\n;\t\nCenters\tfor\tDisease\tControl\tand\nPrevention\t[CDC],\t2013\n;\t\nFong\tet\tal,\t2010\n;\t\nJóhannsson\tet\tal,\t2010\n;\t\nSchoepfer\tet\tal,\t2007\n;\t\nSharma\tet\tal,\t2010\n).\tOne\tof | [
-0.07126250118017197,
0.013640249148011208,
0.02115362510085106,
-0.095569908618927,
-0.04512923210859299,
0.03651222214102745,
0.07693943381309509,
0.04445798322558403,
0.03728630766272545,
0.05188712477684021,
0.12877324223518372,
-0.021807659417390823,
0.018834056332707405,
0.0066778259... |
;\t\nSchoepfer\tet\tal,\t2007\n;\t\nSharma\tet\tal,\t2010\n).\tOne\tof\nthe\tmost\tsignificant\tevents\toccurred\tin\t2013\twhen\t56\tindividuals\t(43\tin\tHawaii)\ttaking\tOxyElite\tPro\tdeveloped\tacute\nor\tfulminant\tliver\tfailure.\tSeveral\tpatients\trequired\tliver\ttransplantation\tand\tat\tleast\tone\tpatient\... | [
0.0019291474018245935,
-0.03331650421023369,
0.008240656927227974,
-0.06339332461357117,
-0.09040437638759613,
0.010782264173030853,
0.059649545699357986,
0.047212228178977966,
0.014285391196608543,
0.019991811364889145,
0.12749655544757843,
-0.0011175371473655105,
0.06622270494699478,
0.0... |
CDC,\t2013\n;\nFood\tand\tDrug\tAdministration\t[FDA],\t2014\n).\nDespite\treports\tof\thepatotoxicity\n\twith\tnumerous\therbal\tsupplements,\tsome\tsupplements\thave\tbeen\tinvestigated\tfor\nbenefits\ton\tliver\tdisease.\t\nS\n-adenosyl-\nL\n-methionine\t(SAMe)\tis\tsometimes\tsuggested\tfor\tuse\twith\tliver\tdisea... | [
-0.01866363175213337,
-0.06343646347522736,
0.029451169073581696,
-0.04996801167726517,
-0.03671780228614807,
0.024544181302189827,
0.07825162261724472,
0.08978940546512604,
0.018084071576595306,
0.05549938604235649,
0.09718414396047592,
-0.011133494786918163,
0.020016878843307495,
0.01944... |
purported\tto\tact\tas\ta\tmethyl\tdonor\tfor\tmethylation\treactions\tand\tparticipates\tin\tglutathione\tsynthesis\t(an\nantioxidant).\tA\trecent\tsystematic\treview\tand\tmeta-analysis\tsuggested\tSAMe\tmay\timprove\tliver\tfunction\n\tbut\tdoes\tnot\nimprove\toutcomes\tfor\tchronic\tliver\tdisease\t(\nGuo\tet\tal,\... | [
-0.04320022463798523,
-0.019332749769091606,
0.012031453661620617,
-0.039680059999227524,
-0.05309751629829407,
0.013172131031751633,
0.053081948310136795,
0.04921066388487816,
0.03895235434174538,
0.11477664858102798,
0.12282849103212357,
-0.04028693959116936,
-0.0011809447314590216,
0.06... |
Guo\tet\tal,\t2015\n).\tBetaine\thas\tbeen\tproposed\tfor\ttreatment\tof\tNASH,\nalcoholic\tliver\tdisease,\tand\tother\tconditions.\tBetaine\tfunctions\tin\tthe\tliver\tas\ta\tmethyl\tdonor.\tAlthough\tthere\tis\ntheoretical\tpromise,\tthere\tis\ta\tlack\tof\tstrong\tevidence\tfor\tbenefit\t(\nDay\tand\tKempson,\t2016... | [
-0.036762844771146774,
0.02219555713236332,
0.04368500038981438,
-0.007634615991264582,
-0.0678819864988327,
0.0072103226557374,
0.08132839947938919,
-0.046271733939647675,
0.031962472945451736,
0.0428081676363945,
0.10132869333028793,
-0.03722839802503586,
0.006947642657905817,
0.02097271... |
Abdelmalek\tet\tal,\t2009\n;\nMukherjee,\t2011\n).\nMilk\tthistle\tappears\tto\n\tbe\tthe\tmost\tpopular\tand\textensively\tstudied\therbal\tsupplement\tfor\tliver\tdisease.\tThe\tactive\ncomponent\tin\tmilk\tthistle\tis\tsilymarin\twith\tsilybin\t(constituting\t50%\tto\t70%\tof\tsilymarin)\tbelieved\tto\thave\tthe\tmo... | [
0.009084217250347137,
0.037883460521698,
0.03565889224410057,
-0.0691627785563469,
-0.09303891658782959,
-0.016306418925523758,
0.05583116039633751,
0.000015035458091006149,
0.003577366005629301,
0.042623452842235565,
0.08678989112377167,
-0.02354569174349308,
0.02949550934135914,
-0.03040... |
biologic\tactivity.\tMilk\tthistle\tis\tproposed\tto\thave\tantiinflammatory,\tantioxidant,\tand\tantifibrotic\tproperties,\twhich\nwould\tbe\tbeneficial\tin\tliver\tdisease\t(\nAbenavoli\tet\tal,\t2010\n).\tMilk\tthistle\n\thas\tbeen\tevaluated\tfor\tviral\thepatitis, | [
0.028797704726457596,
-0.06109362840652466,
0.030243640765547752,
-0.03779337927699089,
-0.07053025811910629,
0.030013596639037132,
0.07760930806398392,
0.05123055353760719,
-0.035133957862854004,
0.07050924003124237,
0.07019325345754623,
-0.03339960798621178,
-0.028953827917575836,
0.0506... |
).\tMilk\tthistle\n\thas\tbeen\tevaluated\tfor\tviral\thepatitis,\nalcoholic\tliver\tdisease,\tand\ttoxin-induced\tliver\tdisease.\tA\trecent\tmeta-analysis\tevaluated\tthe\tbenefits\tof\tsilymarin\ton\nNAFLD.\tThe\tstudy\tshowed\tthat\tsilymarin\tmay\treduce\ttransaminases,\tbut\tthere\twas\tno\tevaluation\tof\thistol... | [
0.0041679441928863525,
-0.035464536398649216,
0.06795721501111984,
-0.03429452329874039,
-0.09482445567846298,
0.014769489876925945,
0.044070053845644,
0.018090806901454926,
0.015571536496281624,
0.0710533931851387,
0.11246339976787567,
-0.05472453311085701,
0.010618004016578197,
0.0498140... |
changes\tin\tthe\tliver\t(\nZhong\tet\tal,\t2017\n).\tDespite\tits\tpopularity\tand\twidespread\tuse,\ta\tclear\tconsensus\tis\tlacking\tas\tto\na\tbeneficial\n\teffect\tof\tmilk\tthistle\ton\tall\tforms\tof\tliver\tdisease,\tso\tindividual\tassessment\tis\tneeded.\tHowever,\tdata\tare\nnot\tsufficient\tto\tsuggest\tth... | [
0.009623344987630844,
-0.03202638775110245,
0.08077755570411682,
-0.0670425146818161,
-0.10111208260059357,
0.026858126744627953,
0.046924542635679245,
-0.01939643919467926,
0.020050613209605217,
0.02931646816432476,
0.1122080385684967,
-0.021715430542826653,
0.024664128199219704,
0.001574... |
Liver\tresection\tand\ttransplantation\nAs\twith\tany\tmajor\tsurgery,\tprotein\tand\tenergy\tneeds\tincrease\tafter\tliver\tresection.\tNeeds\talso\tare\tincreased\tfor\tliver\ncell\tregeneration.\tEN\tcan\tbe\tbeneficial\tby\n\tproviding\tportal\thepatotropic\tfactors\tnecessary\tfor\tliver\tcell\tproliferation. | [
-0.0014727846719324589,
-0.043644677847623825,
0.0624132938683033,
-0.04353455454111099,
-0.07005485892295837,
-0.0014028842560946941,
0.09303637593984604,
0.06340274214744568,
-0.06947116553783417,
0.04865792393684387,
0.11958830803632736,
-0.027311474084854126,
-0.002684336621314287,
0.0... |
Optimal\tnutrition\tis\tmost\timportant\tfor\tpatients\twith\tpoor\tnutrition\tstatus\tbefore\thepatectomy\t(e.g.,\tpatients\twith\ncholangiocarcinoma).\nLiver\ttransplantation\thas\tbecome\tan\testablished\ttreatment\tfor\tESLD.\tMalnutrition\tis\tcommon\tin\tliver\ttransplant\ncandidates.\tDietary\tintake\toften\tcan... | [
0.03061561845242977,
-0.008519050665199757,
0.03466618433594704,
-0.03753018379211426,
-0.09390687197446823,
-0.021974200382828712,
0.05724869295954704,
0.09941774606704712,
-0.012405293062329292,
0.020904801785945892,
0.08123188465833664,
0.04629898816347122,
0.06428669393062592,
0.054534... |
frequent,\tnutrient-dense\tmeals,\tand\toral\nnutritional\tsupplements\talso\tmay\tbe\twell\ttolerated.\tEN\tis\tindicated\twhen\toral\tintake\tis\tinadequate\tor\ncontraindicated.\tVarices\tare\tnot\tan\tabsolute\tcontraindication\tfor\tplacement\tof\ta\tfeeding\ttube.\tBecause\tPN\tcan\taffect | [
0.03394392877817154,
-0.060241322964429855,
0.05330083146691322,
0.01831289380788803,
-0.06732222437858582,
0.03480316698551178,
0.127430722117424,
-0.02923618257045746,
0.001112428610213101,
0.03319668024778366,
0.10893847793340683,
-0.03785828500986099,
0.033662181347608566,
0.0430488474... |
liver\tfunction\tadversely,\tEN\tis\tpreferred.\tPN\tis\treserved\tfor\tpatients\twithout\tadequate\tgut\tfunction\t(see\t\nChapter\t12\n).\nIn\tthe\tacute\tposttransplant\n\tphase,\tnutrient\tneeds\tare\tincreased\tto\tpromote\thealing,\tdeter\tinfection,\tprovide\tenergy | [
0.004863324575126171,
-0.05070158839225769,
0.05926761031150818,
-0.037738461047410965,
-0.07902276515960693,
0.019806863740086555,
0.06862010806798935,
0.12571370601654053,
-0.06818145513534546,
0.04904292896389961,
0.0915025845170021,
-0.02944354899227619,
0.014431222341954708,
0.0578031... |
for\trecovery,\tand\treplenish\tdepleted\tbody\tstores.\tNitrogen\trequirements\tare\televated\tin\tthe\tacute\tposttransplant\nphase\tand\tcan\tbe\tmet\twith\tearly\tpostoperative\tEN.\tEarly\tpostoperative\tEN\thas\tbeen\tassociated\twith\treduced\ninfections\tin\tliver\ttransplant\trecipients\t(\nHasse\tet\tal,\t199... | [
-0.024384697899222374,
-0.015744060277938843,
0.08500541001558304,
-0.08425714820623398,
-0.11134764552116394,
0.010970424860715866,
0.10984811186790466,
0.02823498845100403,
-0.017389865592122078,
0.05116729438304901,
0.1106988787651062,
0.009938232600688934,
0.007606898434460163,
0.01864... |
;\t\nIkegami\tet\tal,\t2012\n;\t\nMasuda\tet\tal,\t2014\n).\tAdministration\nof\tprobiotics\tand\tfiber\twith\ttube\tfeeding\tmay\treduce\tpostoperative\tinfection\trate\tbetter\tthan\ttube\tfeeding\tor\tfiber\nalone\t(\nRayes\tet\tal,\t2005\n).\nMultiple\tmedications\tused\tafter\ttransplant\thave\tnutritional\tside\t... | [
0.011417921632528305,
-0.08521515876054764,
0.06373465061187744,
-0.01868371106684208,
-0.08976493030786514,
0.0007423887145705521,
0.08417011797428131,
0.02065509371459484,
-0.036119718104600906,
0.03799568861722946,
0.12262669205665588,
0.015849994495511055,
0.02073957957327366,
0.009553... |
hypercatabolism,\tdiarrhea,\thyperglycemia,\thyperlipidemia,\tsodium\tretention,\thypertension,\thyperkalemia,\tand\nhypercalciuria.\n\tTherefore\tdietary\tmodification\tis\tbased\ton\tthe\tspecific\tside\teffects\tof\tdrug\ttherapy\t(\nTable\t28.5\n).\nDuring\tthe\tposttransplant\tphase,\tnutrient\trequirements\tare\t... | [
-0.004097583703696728,
-0.06888898462057114,
0.01648404635488987,
0.007420820649713278,
-0.04663380980491638,
0.04712639003992081,
0.06962559372186661,
0.05143411085009575,
-0.04809733107686043,
0.03471911698579788,
0.08615034818649292,
-0.012122060172259808,
0.06839592754840851,
-0.011459... |
hyperlipidemia,\thypertension,\tdiabetes\tmellitus,\tand\tosteopenia.\t\nTable\t28.6\n\tsummarizes\tnutrient\tneeds\tafter\tliver\ntransplantation. | [
-0.003740952117368579,
-0.025799499824643135,
-0.023936353623867035,
0.03272165358066559,
-0.006056873127818108,
0.06735074520111084,
0.05581776425242424,
0.062004879117012024,
-0.0371374636888504,
0.007790852338075638,
0.08673027902841568,
0.01827891729772091,
-0.0010882922215387225,
-0.0... |
TABLE\t28.5\nDrugs\tCommonly\tUsed\tAfter\tLiver\tTransplantation\nImmunosuppressant\tDrug\nPossible\tNutritional\tSide\tEffects\nProposed\tNutrition\tTherapy\nAzathioprine\nMacrocytic\tanemia\nMouth\tsores\nNausea,\tvomiting,\tdiarrhea,\tanorexia,\tsore\nthroat,\tstomach\tpain,\tdecreased\ttaste\nacuity\nGive\tfolate\... | [
0.03561967611312866,
-0.08853040635585785,
0.003297597635537386,
0.03723917156457901,
-0.09314583241939545,
0.016279932111501694,
0.0960235521197319,
0.051633141934871674,
-0.0946928858757019,
0.0425448901951313,
0.07907245308160782,
-0.015673115849494934,
0.021159226074814796,
0.002982175... |
Adjust\tfood\tand\tmeals\tas\tneeded;\nmonitor\tintake.\nAntithymocyte\tglobulin\t(ATG),\nlymphocyte\timmune\tglobulin\nNausea,\tvomiting\nAdjust\tfood\tand\tmeals\n\tas\tneeded;\nmonitor\tintake.\nCyclosporine\nSodium\tretention\nDecrease\tsodium\tintake.\nHyperkalemia\nDecrease\tpotassium\tintake.\nHyperlipidemia\nLi... | [
0.012230361811816692,
-0.09304413199424744,
-0.002035984769463539,
0.027361422777175903,
-0.06293243169784546,
0.013254600577056408,
0.116644486784935,
0.08639019727706909,
-0.0856565460562706,
0.04234975948929787,
0.06784316152334213,
-0.04599761962890625,
0.03697512671351433,
0.046315502... |
Limit\tfat\tand\tsimple\tcarbohydrate\nintake.\nHyperglycemia\nDecrease\tsimple\tcarbohydrate\tintake.\nDecreased\tserum\tmagnesium\tlevel\nIncrease\tmagnesium\tintake;\tgive\nsupplements.\nHypertension\nLimit\tsodium\tintake.\nNausea,\tvomiting\nAdjust\tfood\tand\tmeals\n\tas\tneeded;\nmonitor\tintake.\nGlucocorticoid... | [
-0.007705709431320429,
-0.08568644523620605,
0.013086126185953617,
0.03071657568216324,
-0.032105494290590286,
0.01467994786798954,
0.09796539694070816,
0.08032099157571793,
-0.0765371099114418,
0.026224249973893166,
0.054084692150354385,
-0.02351422980427742,
0.024339891970157623,
0.03585... |
Sodium\tretention\nDecrease\tsodium\tintake.\nHyperglycemia\nDecrease\tsimple\tcarbohydrate\tintake.\nHyperlipidemia\nLimit\tfat\tand\tsimple\tcarbohydrate\nintake.\nFalse\thunger\nAvoid\tovereating.\nProtein\twasting\twith\thigh\tdoses\nIncrease\tprotein\tintake.\nDecreased\tabsorption\tof\tcalcium\tand\tphosphorus\nI... | [
-0.0024348299484699965,
-0.09891591221094131,
0.059282343834638596,
0.0005331752472557127,
-0.053062453866004944,
0.02460777759552002,
0.13632899522781372,
0.04078515246510506,
-0.06635569781064987,
0.062227003276348114,
0.03231814503669739,
-0.04448731616139412,
0.05669420212507248,
0.030... |
Increase\tcalcium\tand\tphosphorus\nintake;\tgive\tsupplements\n\tas\nneeded.\nMycophenolate\tmofetil,\nmycophenolic\tacid\nNausea,\tvomiting,\tdiarrhea\nAdjust\tfood\tand\tmeals\tas\tneeded;\nmonitor\tintake.\nSirolimus\nPossible\tGI\tsymptoms\nAdjust\tfood\tand\tmeals\tas\tneeded;\nmonitor\tintake.\nHyperlipidemia\nL... | [
0.029526911675930023,
-0.06930624693632126,
0.014675759710371494,
0.014843068085610867,
-0.04760335385799408,
0.04262937605381012,
0.10203942656517029,
0.06577161699533463,
-0.04923872649669647,
0.042729441076517105,
0.09614324569702148,
-0.04786568507552147,
0.020786184817552567,
0.013206... |
Limit\tfat\tand\tsimple\tcarbohydrate\nintake.\nInhibits\twound\thealing\nEnsure\tadequate\tmacro-\tand\nmicronutrients.\nDepressed\tappetite.\nConsider\tappetite\tstimulants.\nTacrolimus\nHyperglycemia\nDecrease\tsimple\tcarbohydrate\tintake.\nHyperkalemia\nDecrease\tpotassium\tintake.\nNausea,\tvomiting\nAdjust\tfood... | [
-0.003104135161265731,
-0.08733775466680527,
0.040981847792863846,
0.033960551023483276,
-0.08320695906877518,
0.00745869055390358,
0.11624433845281601,
0.046883001923561096,
-0.06397442519664764,
0.028981253504753113,
0.09165065735578537,
-0.06880628317594528,
0.02031542733311653,
0.04066... |
TABLE\t28.6\nGeneral\tNutrient\tRequirements\tfor\tLiver\tTransplant\tPatients\nPretransplantation\nImmediate\tPosttransplantation\n(First\t2\tPosttransplant\nMonths)\nLong-Term\tPosttransplantation\n*\nProtein\nDependent\ton\tnutrition\tstatus\tand\nmedical\tcondition\tbut\tusually\t1-\n1.5\tg/kg\nDependent\ton\tnutri... | [
0.0015534126432612538,
-0.03705456107854843,
0.019394222646951675,
-0.011691535823047161,
-0.15849502384662628,
-0.028175529092550278,
0.03640836477279663,
0.07254980504512787,
-0.022945795208215714,
0.020710259675979614,
0.08857924491167068,
-0.0321362130343914,
-0.004171945154666901,
0.0... |
Dependent\ton\tnutrition\tstatus,\nmedical\tcondition,\tand\tdialysis\nrequirement\tbut\tusually\t1.2-2\ng/kg\nMaintenance\t–\tabout\t1\tg/kg\n*\nCalories\nDependent\ton\tnutrition\tstatus\tand\nlosses;\tusually\t20%-50%\n\tabove\nbasal\nDependent\ton\tnutrition\tstatus\tand\nmetabolic\tstress\tbut\tusually\n20%-30%\ta... | [
0.005302478093653917,
-0.03970041126012802,
0.02599167264997959,
0.03367890045046806,
-0.1479324847459793,
-0.012159411795437336,
0.06672628223896027,
0.03908758610486984,
-0.0641140416264534,
0.027813680469989777,
0.10147786885499954,
-0.06436538696289062,
-0.0007717192638665438,
0.025232... |
20%-30%\tabove\tbasal\nDependent\ton\tactivity\tand\tweight\ngoals;\tusually\t20%\tabove\tbasal\nfor\tsedentary\tactivity\tif\tat\tgoal\nweight\nFat\nAs\tneeded\nApproximately\t30%\tof\tcalories\nModerate\tfat\t(30%\tof\tcalories)\nCarbohydrate\nReduced\tcarbohydrate\tif\tdiabetes\nor\tobesity\tpresent\nReduced\tcarboh... | [
0.03021976910531521,
-0.0964733138680458,
0.03314549848437309,
0.08380720019340515,
-0.08596907556056976,
-0.01516394317150116,
0.08977183699607849,
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0.03504214063286781,
0.057073794305324554,
-0.06550762802362442,
-0.00564977340400219,
0.0453493... |
present\nReduced\tsimple\n\tcarbohydrate,\nespecially\tif\tdiabetes\tor\tobesity\npresent\nSodium\n2\tg/day\n2\tg/day\t(as\tindicated)\n2\tg/day\t(as\tindicated)\nFluid\nRestrict\tto\t1000-1500\tmL/day\t(if\nhyponatremic)\nAs\tneeded\nAs\tneeded\nCalcium\n800-1200\tmg/day\n800-1200\tmg/day\n1200-1500\tmg/day\nVitamins\... | [
-0.0352201946079731,
-0.02771553210914135,
0.058454398065805435,
0.025461038574576378,
-0.04635665565729141,
-0.05971956253051758,
0.06984489411115646,
0.07843175530433655,
-0.0794643759727478,
-0.008873643353581429,
0.08009932190179825,
-0.08635738492012024,
0.053450096398591995,
0.036109... |
Vitamins\nMultivitamin/mineral\nsupplementation\tto\tDRI\tlevels;\nadditional\twater-\tand\tfat-soluble\nvitamins\tas\tindicated\nMultivitamin/mineral\nsupplementation\n\tto\tDRI\tlevels;\nadditional\twater-\tand\tfat-soluble\nvitamins\tas\tindicated\nMultivitamin/mineral\nsupplementation\tto\tDRI\tlevels\nDRI\n,\tDiet... | [
-0.032441962510347366,
-0.06663907319307327,
0.06952572613954544,
0.0021157851442694664,
0.004627809394150972,
-0.0003595092275645584,
0.06295763701200485,
0.0458805188536644,
-0.11353561282157898,
-0.0006131297559477389,
0.08915489912033081,
-0.0458994135260582,
0.04664158448576927,
0.007... |
DRI\n,\tDietary\treference\tintake.\n*\nUse\testimated\tdry\tor\tideal\tweight.\nPhysiology\tand\tfunctions\tof\tthe\tgallbladder\nThe\tgallbladder\tlies\ton\tthe\tundersurface\tof\tthe\tright\tlobe\tof\tthe\tliver\t(\nFig.\t28.6\n).\tThe\tmain\tfunction\tof\tthe\tgallbladder\nis\tto\tconcentrate,\tstore,\tand | [
0.0033321287482976913,
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0.08171968907117844,
-0.04350126534700394,
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0.07100541144609451,
0.04061131551861763,
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0.01404957938939333,
0.07410081475973129,
-0.07868534326553345,
0.001095545245334506,
0.04468... |
).\tThe\tmain\tfunction\tof\tthe\tgallbladder\nis\tto\tconcentrate,\tstore,\tand\n\texcrete\tbile,\twhich\tis\tproduced\tby\tthe\tliver.\tDuring\tthe\tconcentration\tprocess,\twater\tand\nelectrolytes\tare\tresorbed\tby\tthe\tgallbladder\tmucosa.\tBile\tis\tcomposed\tof\tbile\tsalts\tand\texcretory\tendogenous\tand | [
0.02136066183447838,
-0.07225663959980011,
0.07051355391740799,
-0.01565636694431305,
-0.12632621824741364,
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0.08909048140048981,
0.020286116749048233,
0.024020176380872726,
0.026983099058270454,
0.07895702868700027,
-0.02995642088353634,
0.033156029880046844,
0.047077... |
exogenous\tcompounds.\tOther\tcomponents\tinclude\tfatty\tacids,\tcholesterol,\tphospholipids,\tbilirubin,\tprotein,\tand\nother\tcompounds.\tBile\tsalts\tare\tmade\tby\tliver\tcells\tfrom\tcholesterol\tand\tare\tessential\n\tfor\tthe\tdigestion\tand\nabsorption\tof\tfats,\tfat-soluble\tvitamins,\tand\tsome\tminerals\t... | [
-0.047218263149261475,
-0.10546711832284927,
-0.004711724352091551,
-0.0014994227094575763,
-0.04555613920092583,
0.013812010176479816,
0.059652622789144516,
0.05988980084657669,
0.001926058204844594,
0.01285755354911089,
0.0906168594956398,
-0.02330058068037033,
0.031973131000995636,
0.03... |
Chapter\t1\n).\tBilirubin,\tthe\tmain\tbile\tpigment,\tis\nderived\tfrom\tthe\trelease\tof\themoglobin\tfrom\tred\tblood\tcell\tdestruction.\tIt\tis\ttransported\tto\tthe\tliver,\twhere\tit\tis\nconjugated\tand\texcreted\tvia\tbile.\nFIG.\t28.6\nSchematic\tdrawing\tshowing\trelationship\tof\torgans\tof\tthe\tupper\tabd... | [
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-0.055223479866981506,
0.013033677823841572,
-0.09267869591712952,
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0.019725298509001732,
0.05424622446298599,
0.0341029055416584,
0.005688817705959082,
0.0792330950498581,
0.10725931078195572,
0.05803114175796509,
0.030114885419607162,
-0.011290... |
A,\n\tLiver\t(retracted\tupward);\t\nB,\n\tgallbladder;\t\nC,\nesophageal\topening\tof\tstomach;\t\nD,\n\tstomach\t(\nshown\tin\tdotted\toutline\n);\t\nE,\n\tcommon\tbile\tduct;\t\nF,\n\tduodenum;\t\nG,\n\tpancreas\tand\npancreatic\tduct;\t\nH,\n\tspleen;\t\nI,\n\tkidneys.\n\t\nSource:\n\t(Courtesy\tCleveland\tClinic,\... | [
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0.022114748135209084,
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0.02856207825243473,
0.09628210961818695,
-0.017234301194548607,
0.018184062093496323,
0.043682172894477844,
0.09063470363616943,
-0.011386984959244728,
0.07232224196195602,
0.023... |
The\tprimary\ttransporter\tresponsible\tfor\tbile\n\tsalt\tsecretion\tis\tthe\tbile\tsalt\texport\tpump\t(BSEP).\tOverall,\tbile\tsalts\nplay\ta\tkey\trole\tin\ta\twide\trange\tof\tphysiologic\tand\tpathophysiologic\tprocesses\t(\nKubitz\tet\tal,\t2012\n).\tExcreted\tinto\tthe | [
0.02105424925684929,
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0.054244399070739746,
-0.043091729283332825,
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0.011907210573554039,
0.10108361393213272,
0.050256967544555664,
0.03781895339488983,
0.023131676018238068,
0.09507621079683304,
-0.012701943516731262,
0.021233059465885162,
0.0391... |
Kubitz\tet\tal,\t2012\n).\tExcreted\tinto\tthe\nsmall\tintestine\tvia\tbile,\tbile\tsalts\tare\tlater\tresorbed\tinto\tthe\tportal\tsystem\t(enterohepatic\tcirculation).\tThis\tis\tthe\nprimary\texcretory\tpathway\tfor\tthe\tminerals\tcopper\tand\tmanganese.\nBile\tcontains\timmunoglobulins\n\tthat\tsupport\tthe\tinteg... | [
0.030452899634838104,
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0.04313588887453079,
-0.044421106576919556,
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0.00511675700545311,
0.07960726320743561,
0.01596207730472088,
0.018103932961821556,
0.07015370577573776,
0.09638641774654388,
-0.03811156749725342,
0.02774856612086296,
0.03551955... |
receptor\t(FGFR4)\tcontrols\tbile\tacid\tmetabolism\tand\tprotects\tthe\tliver\tfrom\tfibrosis;\tFGFR1\tand\tFGFR2\tassist\tin\nregeneration\tof\tthe\tliver\t(\nBöhm\tet\tal,\t2010\n).\tMolecular\tcrosstalk\tbetween\tbile\tacid–activated\tnuclear\treceptors\tand\nproinflammatory\tnuclear\tmediators\tprovides\tnew\tunde... | [
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0.007456747815012932,
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0.0062184445559978485,
0.09891021251678467,
0.1037641391158104,
0.046919047832489014,
0.05552857369184494,
0.09660851210355759,
-0.0032106470316648483,
0.03199980780482292,
0.100... |
(\nKosters\tand\nKarpen,\t2010\n;\t\nLam\tet\tal,\t2010\n).\nBile\tis\tremoved\tby\tthe\tliver\tvia\tbile\tcanaliculi\tthat\tdrain\tinto\tintrahepatic\tbile\tducts.\tThe\tducts\tlead\tto\tthe\tleft\tand\nright\thepatic\tducts,\twhich\tleave\tthe\tliver\tand\tjoin\tto\tbecome\tthe\tcommon\thepatic\tduct.\tThe\tbile\tis\... | [
0.025975724682211876,
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0.033743251115083694,
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0.006323246750980616,
0.09021489322185516,
0.04033081606030464,
-0.013269178569316864,
0.06413936614990234,
0.11729591339826584,
-0.02875019982457161,
0.005529386922717094,
0.05221... |
gallbladder\tvia\tthe\tcystic\tduct\tfor\tconcentration\tand\tstorage.\tThe\tcystic\tduct\tjoins\tthe\tcommon\thepatic\tduct\tto\tform\nthe\tcommon\tbile\tduct.\tThe\tbile\tduct\tthen\tjoins\tthe\tpancreatic\tduct,\twhich\tcarries\tdigestive\tenzymes.\nDuring\tthe\tcourse\tof\tdigestion,\tfood\treaches\tthe\tduodenum,\... | [
0.05184360593557358,
-0.12694329023361206,
0.025124968960881233,
0.009440800175070763,
-0.14035020768642426,
-0.06720535457134247,
0.04071016237139702,
0.019451819360256195,
-0.0009952590335160494,
0.01010159496217966,
0.08855260908603668,
-0.010999003425240517,
0.03616414964199066,
0.0229... |
cholecystokinin\t(CCK)\tand\tsecretin.\tThis\tstimulates\tthe\tgallbladder\tand\tpancreas\tand\tcauses\tthe\tsphincter\tof\tOddi\tto\nrelax,\tallowing\tpancreatic\tjuice\tand\tbile\tto\tflow\tinto\tthe\tduodenum\n\tat\tthe\tampulla\tof\tVater\tto\tassist\tin\tfat\tdigestion.\nFor\tthis\treason\tdiseases\tof\tthe\tgallb... | [
0.01996592991054058,
-0.09617302566766739,
0.033372946083545685,
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0.0837944969534874,
0.0283691193908453,
0.012393663637340069,
0.0009857636177912354,
0.10773371905088425,
-0.031556449830532074,
0.039136141538619995,
0.018... |
Diseases\tof\tthe\tgallbladder\nDisorders\tof\tthe\tbiliary\ttract\taffect\tmillions\tof\tpeople\teach\tyear,\tcausing\tsignificant\tsuffering\tand\teven\tdeath\tby\nprecipitating\tpancreatitis\tand\tsepsis.\tA\tdiverse\tspectrum\tof\tdisease\taffects\tthe\tbiliary\tsystem,\toften\tpresenting\n\twith | [
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0.029720323160290718,
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0.07051168382167816,
0.0043678670190274715,
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0.05992585048079491,
0.08710653334856033,
-0.011433937586843967,
0.014040689915418625,
0.0... |
with\nsimilar\tclinical\tsigns\tand\tsymptoms.\tTreatment\tmay\tinvolve\tdiet,\tmedication,\tand/or\tsurgery.\nCholestasis\nPathophysiology\tand\tmedical\tmanagement\nCholestasis\n\tis\ta\tcondition\tin\twhich\tlittle\tor\tno\tbile\tis\tsecreted\tor\tthe\tflow\tof\tbile\tinto\tthe\tdigestive\ttract\tis | [
0.049440111964941025,
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0.05098605528473854,
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0.00044368591625243425,
0.07858376950025558,
0.04057909548282623,
0.032515816390514374,
0.020222922787070274,
0.0468350425362587,
0.0011979187838733196,
-0.0006088506779633462,
0.0... |
obstructed.\tThis\tcan\toccur\tin\tpatients\twithout\toral\tor\tenteral\tfeeding\tfor\ta\tprolonged\tperiod,\tsuch\tas\tthose\trequiring\nPN,\tand\tcan\n\tpredispose\tto\t\nacalculous\tcholecystitis\n,\tan\tinflammatory\tdisease\tof\tthe\tgall\tbladder\twithout\tevidence\nof\tgallstones\tor\tcystic\tduct\tobstruction.\... | [
-0.0008652688702568412,
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0.053715452551841736,
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-0.02354331687092781,
0.10273811221122742,
0.0033055897802114487,
0.01645352691411972,
0.04609473794698715,
0.1167902871966362,
0.0020552510395646095,
0.06255361437797546,
0.056844... |
hepatocytes\tinto\tbile.\tBSEP\tdeficiency\tresults\tin\tseveral\tdifferent\tgenetic\tforms\tof\tcholestasis\tand\tacquired\tforms\tof\ncholestasis\tsuch\tas\tdrug-induced\tcholestasis\tand\tintrahepatic\tcholestasis\n\tof\tpregnancy\t(\nLam\tet\tal,\t2010\n).\tPrevention | [
0.004574335180222988,
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0.04960234835743904,
0.0502474308013916,
0.0855923518538475,
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0.09845484793186188,
0.05581418052315712,
-0.03062601014971733,
0.0009444430470466614,
0.04393... |
of\tpregnancy\t(\nLam\tet\tal,\t2010\n).\tPrevention\nof\tcholestasis\trequires\tstimulation\tof\tbiliary\tmotility\tand\tsecretions\tby\tat\tleast\tminimum\tenteral\tfeedings.\tIf\tthis\tis\nnot\tpossible,\tdrug\ttherapy\tis\tused.\nCholelithiasis\nPathophysiology\nThe\tformation\tof\tgallstones\t(\ncalculi\n)\tis\tkn... | [
0.021303007379174232,
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0.043694689869880676,
0.017107103019952774,
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0.03289259970188141,
0.05111929029226303,
0.02749745361506939,
0.008762490004301071,
0.07305341213941574,
0.1199289858341217,
-0.0485132560133934,
-0.018115296959877014,
0.0112838... |
The\tformation\tof\tgallstones\t(\ncalculi\n)\tis\tknown\tas\t\ncholelithiasis\n.\tVirtually\tall\tgallstones\tform\twithin\tthe\tgallbladder.\nGallstone\tdisease\taffects\tmillions\tof\tAmericans\n\teach\tyear\tand\tcan\tcause\tsignificant\thealth\trisks.\tIn\tmost\tcases | [
0.0023319206666201353,
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0.06896942853927612,
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0.044113434851169586,
0.10678793489933014,
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-0.03735831379890442,
0.016... |
each\tyear\tand\tcan\tcause\tsignificant\thealth\trisks.\tIn\tmost\tcases\ngallstones\tare\tasymptomatic.\tGallstones\tthat\tpass\tfrom\tthe\tgallbladder\tinto\tthe\tcommon\tbile\tduct\tmay\tremain\tthere\nindefinitely\twithout\tcausing\tsymptoms,\tor\tthey\tmay\tpass\tinto\tthe\tduodenum\twith\tor\twithout\tsymptoms.\... | [
0.029771916568279266,
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0.07029252499341965,
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0.03935128450393677,
0.003436625236645341,
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0.05091575160622597,
0.09339019656181335,
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0.03381381556391716,
-0.001... |
Choledocholithiasis\n\tdevelops\twhen\tstones\tslip\tinto\tthe\tbile\tducts,\tproducing\tobstruction,\tpain,\tand\tcramps.\tIf\npassage\n\tof\tbile\tinto\tthe\tduodenum\tis\tinterrupted,\t\ncholecystitis\n,\tinflammation\tof\tthe\tgallbladder,\tcan\tdevelop.\tIn\tthe | [
0.020897239446640015,
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0.06485608220100403,
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0.06464419513940811,
0.023764746263623238,
0.0003601434000302106,
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0.10123524069786072,
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0.024255836382508278,
0.... |
cholecystitis\n,\tinflammation\tof\tthe\tgallbladder,\tcan\tdevelop.\tIn\tthe\nabsence\tof\tbile\tin\tthe\tintestine,\tlipid\tabsorption\tis\timpaired,\tand\twithout\tbile\tpigments,\tstools\tbecome\tlight\tin\tcolor\n(acholic).\tIf\tuncorrected,\tbile\tbackup\tcan\tresult\tin\tjaundice\tand\tliver\tdamage\t(\nsecondar... | [
0.027369841933250427,
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0.05861001834273338,
0.003096346976235509,
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0.09371539205312729,
0.010090437717735767,
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0.05372006446123123,
0.08825939893722534,
-0.002371100476011634,
0.036166708916425705,
0.0351... |
secondary\tbiliary\tcirrhosis\n).\nObstruction\tof\tthe\tdistal\tcommon\tbile\tduct\tcan\tlead\tto\tpancreatitis\n\tif\tthe\tpancreatic\tduct\tis\tblocked.\nMost\tgallstones\tare\tunpigmented\tcholesterol\tstones\tcomposed\tprimarily\tof\tcholesterol,\tbilirubin,\tand\tcalcium\tsalts. | [
-0.040111832320690155,
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0.005894612520933151,
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0.03519425168633461,
0.060678672045469284,
0.0031020159367471933,
0.019319705665111542,
0.1003812700510025,
-0.024543792009353638,
0.01228802278637886,
0.03... |
Bacteria\talso\tplay\ta\trole\tin\tgallstone\tformation.\tLow-grade\tchronic\tinfections\tproduce\tchanges\tin\tthe\tgallbladder\nmucosa,\twhich\taffect\tits\tabsorptive\tcapabilities.\tExcess\twater\tor\tbile\tacid\tmay\tbe\tabsorbed\tas\ta\tresult.\tCholesterol\nmay\tthen\tprecipitate\n\tout\tand\tcause\tgallstones\t... | [
-0.04429034888744354,
-0.0674329400062561,
0.05992318317294121,
-0.039261236786842346,
-0.086068294942379,
0.0004464000812731683,
0.04228953644633293,
0.016439693048596382,
-0.009912637993693352,
0.05299556255340576,
0.07792644947767258,
-0.08280858397483826,
0.018553365021944046,
0.077369... |
may\tthen\tprecipitate\n\tout\tand\tcause\tgallstones\t(\nNjeze,\t2013\n).\nThere\tare\tnumerous\trisk\tfactors\tthat\tmay\tpredispose\tan\tindividual\tto\tgallstone\tformation\t(\nStinton\tet\tal,\t2010\n).\nSome\tof\tthese\tare\tmodifiable,\tothers\tare\tnot\t(\nTable\t28.7\n)\tHigh\tdietary\tfat\tintake\tover\ta\tpr... | [
-0.019313514232635498,
-0.009019413031637669,
0.09732300043106079,
-0.015881318598985672,
-0.059465836733579636,
0.020612923428416252,
0.08811049908399582,
0.015751605853438377,
-0.04138679802417755,
0.0060699936002492905,
0.0909719243645668,
-0.03368431702256203,
0.011694000102579594,
0.0... |
Table\t28.7\n)\tHigh\tdietary\tfat\tintake\tover\ta\tprolonged\tperiod\tmay\npredispose\ta\tperson\tto\tgallstone\tformation\tbecause\tof\tthe\tconstant\tstimulus\tto\tproduce\tmore\tcholesterol\tfor\tbile\nsynthesis\trequired\tin\n\tfat\tdigestion.\tRapid\tweight\tloss\t(as\twith\tjejunoileal\tand\tgastric\tbypass\tsu... | [
-0.024586396291851997,
-0.04754607751965523,
0.008874430321156979,
0.033477190881967545,
-0.11912994831800461,
0.0047967517748475075,
0.023739852011203766,
0.03673135116696358,
-0.021687543019652367,
0.008114338852465153,
0.07413964718580246,
-0.032174162566661835,
0.012904500588774681,
-0... |
severe\tcalorie\trestriction)\tis\tassociated\twith\ta\thigh\tincidence\tof\tbiliary\tsludge\tand\tgallstone\tformation.\tIndeed,\ncholelithiasis\tand\tfatty\tliver\tdisease\tshare\trisk\tfactors,\tincluding\tcentral\tobesity,\tinsulin\tresistance,\tand\tdiabetes\nmellitus\t(\nKoller\tet\tal,\t2012\n;\t\nWeikert\tet\ta... | [
-0.007369296625256538,
-0.0006831152713857591,
0.06763599812984467,
-0.016092436388134956,
-0.11178449541330338,
-0.013094047084450722,
0.08029592037200928,
0.06781446933746338,
-0.043149396777153015,
0.04184332862496376,
0.05528102442622185,
-0.04321514070034027,
0.0031859807204455137,
0.... |
).\nTABLE\t28.7\nRisk\tFactors\tfor\tGallstone\tFormation\nModifiable\nNonmodifiable\nHigh-fat\tdiet\nFamilial/genetics\nFemale\tsex\thormone\tuse\nEthnicity\nObesity/metabolic\tsyndrome/diabetes\nFemale\tgender\nRapid\tweight\tloss\nIncreasing\tage\nPhysical\tinactivity\nUnderlying\tdisease:\tcirrhosis,\tCrohn’s\tdise... | [
-0.04068585857748985,
-0.059257712215185165,
-0.01395359169691801,
0.07908550649881363,
-0.07695195078849792,
-0.012826116755604744,
0.03919651731848717,
0.05419434607028961,
-0.0881376713514328,
0.03273721784353256,
0.03226718306541443,
-0.03836735710501671,
-0.03977450355887413,
0.023636... |
Drugs\nParenteral\tnutrition\nAdapted\tfrom\tStinton\tLM,\tMyers\tRP,\tShaffer\tEA:\tEpidemiology\tof\tGallstones,\n\t\nGastroenterol\tClin\tNorth\tAm\n\t39:157–169,\t2010;\tShaffer\tEA:\tGallstone\tdisease:\tepidemiology\nof\tgallbladder\tstone\tdisease,\t\nBest\tPract\tRes\tClin\tGastroenterol\n\t20(6):981–996,\t2006... | [
-0.016111573204398155,
-0.07153788954019547,
0.008262458257377148,
-0.01737191528081894,
-0.11544982343912125,
-0.017339875921607018,
0.02444540150463581,
0.09347350895404816,
-0.050417765974998474,
-0.030363352969288826,
0.03864164277911186,
-0.02638196013867855,
-0.0067162178456783295,
0... |
Best\tPract\tRes\tClin\tGastroenterol\n\t20(6):981–996,\t2006.\nRisk\tfactors\tfor\tcholesterol\tstone\tformation\tinclude\tfemale\tgender,\tpregnancy,\tolder\tage,\tfamily\thistory,\tobesity\tand\ntruncal\tbody\tfat\tdistribution,\tdiabetes\tmellitus,\tinflammatory\tbowel\tdisease,\tand\tdrugs\t(lipid-lowering\n\tmedi... | [
-0.06975789368152618,
-0.042920731008052826,
0.0018300687661394477,
0.006756388116627932,
-0.08310260623693466,
-0.01782882958650589,
0.011897164396941662,
0.12361760437488556,
-0.005650457460433245,
-0.03868336230516434,
0.03540166839957237,
0.030301101505756378,
-0.04265034943819046,
-0.... |
medications,\noral\tcontraceptives,\tand\testrogens).\tCertain\tethnic\tgroups\tare\tat\tgreater\trisk\tof\tstone\tformation,\tincluding\tNative\nAmericans,\tScandinavians,\tand\tMexican\tAmericans.\tIn\taddition,\tapproximately\t30%\tof\tindividuals\twith\tcirrhosis\thave\ngallstones\t(\nAcalovschi,\t2014\n). | [
-0.03189513459801674,
-0.022547369822859764,
-0.009345339611172676,
-0.007371135521680117,
-0.0936981663107872,
-0.026643600314855576,
0.052381228655576706,
0.04657045379281044,
0.00515896687284112,
0.08348719030618668,
0.05107688531279564,
-0.0530964620411396,
-0.017383109778165817,
0.050... |
gallstones\t(\nAcalovschi,\t2014\n).\nPigmented\tstones\ttypically\tconsist\tof\tbilirubin\tpolymers\tor\tcalcium\tsalts.\tThey\tare\tassociated\twith\tchronic\nhemolysis.\tRisk\n\tfactors\tassociated\twith\tthese\tstones\tinclude\tolder\tage,\tsickle\tcell\tanemia,\tthalassemia,\tbiliary\ttract\ninfection,\tcirrhosis,... | [
0.00372020760551095,
-0.056007590144872665,
0.028964834287762642,
0.010448791086673737,
-0.13861744105815887,
-0.03423922508955002,
0.048566970974206924,
0.04670098051428795,
-0.04145714268088341,
0.012836526148021221,
0.0663779228925705,
-0.005155857652425766,
-0.010757059790194035,
-0.00... |
Medical\tand\tsurgical\tmanagement\nCholecystectomy\n\tis\tsurgical\tremoval\tof\tthe\tgallbladder,\tespecially\tif\tthe\tstones\tare\tnumerous,\tlarge,\tor\tcalcified.\nThe\tcholecystectomy\tmay\tbe\tperformed\tas\ta\ttraditional\topen\tlaparotomy\tor\tas\ta\tless\tinvasive\n\tlaparoscopic\nprocedure. | [
0.016659528017044067,
-0.013505632057785988,
0.060582663863897324,
-0.040712956339120865,
-0.17358466982841492,
-0.07197492569684982,
0.010607616975903511,
0.01597357541322708,
-0.00958558265119791,
0.0027651707641780376,
0.045351818203926086,
0.04855428636074066,
-0.008272764272987843,
0.... |
laparoscopic\nprocedure.\nChemical\tdissolution\twith\tthe\tadministration\tof\tbile\tsalts,\tchenodeoxycholic\tacid,\tand\tursodeoxycholic\tacid\n(litholytic\ttherapy),\tor\tdissolution\tby\textracorporeal\tshockwave\tlithotripsy,\tmay\talso\tbe\tused\tless\toften\tthan\tsurgical | [
-0.004232017323374748,
-0.0821174755692482,
0.05255890637636185,
-0.012323704548180103,
-0.12059538066387177,
-0.03165028244256973,
0.022929375991225243,
-0.017593832686543465,
0.0064844093285501,
0.00603252649307251,
0.08593087643384933,
0.017474032938480377,
-0.03416626155376434,
0.03203... |
techniques.\tPatients\twith\tgallstones\tthat\thave\tmigrated\tinto\tthe\tbile\tducts\tmay\tbe\tcandidates\tfor\ta\tdiagnostic\nprocedure\tusing\tX-ray\tcalled\tendoscopic\n\tretrograde\tcholangiopancreatography. | [
0.03094484470784664,
-0.005560638848692179,
0.02643251046538353,
-0.03685975447297096,
-0.20178866386413574,
-0.05259121209383011,
-0.013301720842719078,
0.08977843821048737,
-0.06793472170829773,
-0.023893697187304497,
0.025748414918780327,
0.02986256778240204,
-0.039378147572278976,
0.06... |
Medical\tnutrition\ttherapy\nThe\trole\tof\tdiet\tin\tthe\tpathogenesis\tof\tgallstones\tand\ttherefore\ttreatment\trecommendations\tremains\tunclear.\tObesity\nis\ta\trisk\tfactor,\tbut\tthe\texact\tcomposition\tof\tthe\tdiet\tthat\tresults\tin\tgallstones\tis\tless\tclear.\tDiets\thigh\tin\tcholesterol | [
0.0027791145257651806,
-0.04706277325749397,
0.0441790334880352,
-0.003931324928998947,
-0.15460197627544403,
-0.040581509470939636,
0.06603245437145233,
0.06248246878385544,
-0.04800679534673691,
0.024018868803977966,
0.055653005838394165,
-0.020441871136426926,
-0.012533311732113361,
0.0... |
and\tfat\tseem\tto\tincrease\tthe\trisk\tof\tcholelithiasis.\tIn\tcontrast,\tunsaturated\tfats,\tcoffee,\n\tfiber,\tascorbic\tacid\t(vitamin\nC),\tcalcium,\tand\tmoderate\tconsumption\tof\talcohol\treduce\tthe\trisk\t(\nShaffer,\t2006\n).\nThere\talso\tmay\tbe\tsome\tbenefit\tin\treplacing\tsimple\tsugars\tand\trefined... | [
-0.015238557010889053,
-0.10069646686315536,
0.046827126294374466,
-0.01838614232838154,
-0.11401134729385376,
-0.008574488572776318,
0.07081521302461624,
0.025223299860954285,
-0.02524847351014614,
0.041962046176195145,
0.08014530688524246,
-0.049700699746608734,
-0.010407419875264168,
0.... |
Individuals\tconsuming\trefined\tcarbohydrates\thave\ta\t60%\tgreater\trisk\tfor\tdeveloping\tgallstones,\tcompared\twith\tthose\nwho\tconsumed\tthe\tmost\tfiber,\tin\tparticular\tinsoluble\tfiber\t(\nMendez-Sanchez\tet\tal,\t2007\n).\tThus\tplant-based\tdiets\tmay | [
-0.00014179882418829948,
-0.009805407375097275,
0.03047884628176689,
0.005692379083484411,
-0.11670777201652527,
0.007019012235105038,
0.07066567987203598,
0.017603598535060883,
-0.03918095678091049,
0.06057530269026756,
0.11501550674438477,
-0.11542848497629166,
-0.034396298229694366,
0.0... |
Mendez-Sanchez\tet\tal,\t2007\n).\tThus\tplant-based\tdiets\tmay\nreduce\tthe\trisk\tof\tcholelithiasis.\tVegetarian\tdiets\tare\thigh\tin\tfiber\tand\tlow\tin\tfat,\tconsisting\tprimarily\tof\tunsaturated\nfat.\tVitamin\tC,\twhich\tis\tgenerally\thigh\tin\tvegetarian\tdiets,\taffects\tthe\trate-limiting\tstep\tin\tthe... | [
-0.011312760412693024,
-0.0049050236120820045,
0.03087969869375229,
-0.008785892277956009,
-0.06953147798776627,
0.04651189222931862,
0.08516741544008255,
0.0341346338391304,
-0.0036852285265922546,
0.06123402714729309,
0.07526086270809174,
-0.08696987479925156,
0.049620773643255234,
0.075... |
cholesterol\tto\tbile\tacids\tand\tinversely\tis\trelated\tto\tthe\trisk\tof\tgallstones,\tespecially\tin\twomen.\nWeight\tcycling\t(repeatedly\tlosing\n\tand\tregaining\tweight),\tfasting,\tand\tvery-low-calorie\tdiets\tincrease\tthe\tlikelihood\nof\tcholelithiasis.\tAlong\twith\tweight\treduction,\tsome\tevidence\tin... | [
-0.011237849481403828,
-0.0769234225153923,
0.05085839331150055,
0.027490798383951187,
-0.13153141736984253,
-0.05374113470315933,
0.07567299157381058,
0.01250424887984991,
-0.019366707652807236,
0.024784225970506668,
0.11756448447704315,
-0.07398074865341187,
-0.00345517392270267,
-0.0128... |
cholecystitis.\tIn\tcholecystitis,\tMNT\tincludes\ta\thigh-fiber,\tlow-fat,\tplant-based\tdiet\tto\tprevent\tgallbladder\ncontractions.\tData\tare\tconflicting\tas\tto\twhether\tintravenous\tlipids\tstimulate\tgallbladder\tcontraction.\nAfter\tsurgical\tremoval\tof\tthe\tgallbladder,\toral\tfeedings\tcan\tbe\tadvanced\... | [
0.025954902172088623,
-0.12411277741193771,
0.06590893864631653,
0.0029299897141754627,
-0.16068117320537567,
-0.09428209811449051,
0.023706650361418724,
0.014764947816729546,
-0.023772498592734337,
-0.014974747784435749,
0.0650731697678566,
0.021716168150305748,
0.01691138930618763,
0.032... |
lower\tfat\tdiet\twith\tadequate\tsoluble\tfiber\tmay\tbe\timportant\tat\tfirst.\tIn\tthe\tabsence\tof\tthe\tgallbladder,\tbile\tis\tsecreted\ndirectly\tby\tthe\tliver\tinto\tthe\tintestine.\tThe\tbiliary\ttract\tdilates,\tforming\ta\t“simulated\tpouch”\tover\ttime\tto\tallow\tbile\tto\nbe\theld\tin\ta\tmanner\tsimilar... | [
0.037908997386693954,
-0.0758935883641243,
0.08389909565448761,
-0.05540024861693382,
-0.1816047579050064,
-0.04193373769521713,
0.03699290752410889,
0.036805570125579834,
0.003567067440599203,
0.040483806282281876,
0.08905252814292908,
-0.007430993486195803,
0.04199706390500069,
0.0300153... |
be\theld\tin\ta\tmanner\tsimilar\tto\tthe\n\toriginal\tgallbladder.\tSome\tpatients\tmay\tdevelop\tfrequent\tloose,\twatery\tstools\tif\nthey\teat\tfatty\tmeals\tduring\tthis\tadaptation\ttime\tframe.\tIn\tmost\tcases,\tthe\tdiarrhea\tis\ttemporary\tand\tself-limiting.\nCholecystitis\nPathophysiology\nInflammation\tof\... | [
0.038401175290346146,
-0.1135435551404953,
0.047827012836933136,
-0.009754923172295094,
-0.1644044816493988,
-0.07669613510370255,
0.0321626253426075,
0.04172956570982933,
-0.014356628991663456,
-0.007380613591521978,
0.06038397178053856,
0.03821795433759689,
0.016399480402469635,
0.057278... |
Inflammation\tof\tthe\tgallbladder\tis\tknown\tas\t\ncholecystitis\n,\tand\tit\tmay\tbe\tchronic\tor\tacute.\tIt\tusually\tis\tcaused\tby\ngallstones\tobstructing\tthe\tbile\tducts\t(calculous\n\tcholecystitis),\tleading\tto\tthe\tbackup\tof\tbile.\tBilirubin,\tthe\tmain\tbile | [
0.016558850184082985,
-0.10839620977640152,
0.022845648229122162,
-0.0017862673848867416,
-0.10877341032028198,
-0.037254344671964645,
0.03532542288303375,
0.05685550719499588,
0.0009873900562524796,
0.03346354141831398,
0.042216721922159195,
0.027355274185538292,
0.04126539081335068,
0.07... |
pigment,\tgives\tbile\tits\tgreenish\tcolor.\tWhen\tbiliary\ttract\tobstruction\tprevents\tbile\tfrom\treaching\tthe\tintestine,\tit\nbacks\tup\tand\treturns\tto\tthe\tcirculation.\tBilirubin\thas\tan\taffinity\tfor\telastic\ttissues\t(such\tas\tthe\teye\tand\tthe\tskin);\ntherefore\twhen\tit\toverflows\tinto\tthe\tgen... | [
0.0009552356204949319,
-0.03805060312151909,
0.07457520812749863,
-0.035016585141420364,
-0.08861593902111053,
-0.0008611471857875586,
0.12641781568527222,
-0.008333997800946236,
0.00389417284168303,
0.06116029620170593,
0.05825197324156761,
-0.07084996998310089,
0.01730787567794323,
0.030... |
and\teye\tdiscoloration\ntypical\tof\t\njaundice\n.\nAcute\tcholecystitis\twithout\tstones\t(acalculous\tcholecystitis)\tmay\toccur\tin\tcritically\till\tpatients\tor\twhen\tthe\ngallbladder\tand\tits\tbile\tare\tstagnant.\tImpaired\tgallbladder\temptying\tin\tchronic\tacalculous\tcholecystitis\tappears\tto\tbe | [
0.04967137798666954,
-0.06806191056966782,
0.04219895228743553,
0.010922187007963657,
-0.15682850778102875,
-0.059752192348241806,
0.08232297748327255,
-0.003804718144237995,
0.018010837957262993,
-0.005452403798699379,
0.076931893825531,
0.005464365240186453,
0.04467179998755455,
0.038956... |
due\tto\tdiminished\tspontaneous\tcontractile\tactivity\tand\tdecreased\tcontractile\tresponsiveness\tto\tCCK.\tThe\twalls\tof\tthe\ngallbladder\n\tbecome\tinflamed\tand\tdistended,\tand\tinfection\tcan\toccur.\tDuring\tsuch\tepisodes,\tthe\tpatient\texperiences\nupper-quadrant\tabdominal\tpain\taccompanied\tby\tnausea... | [
0.009262307547032833,
-0.028055693954229355,
0.0774124413728714,
-0.03962317109107971,
-0.09419986605644226,
-0.06198051944375038,
0.08364661782979965,
0.011860026977956295,
-0.0012629906414076686,
0.039950136095285416,
0.06642170250415802,
-0.07443471997976303,
0.024915684014558792,
0.055... |
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