<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992017000400226</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de los niveles séricos de bilirrubina en el diagnóstico de apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Usefulness of bilirubin serum levels in the diagnosis of acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palma-Ramírez]]></surname>
<given-names><![CDATA[Ernesto Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Macías]]></surname>
<given-names><![CDATA[Mario Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nuevo Sanatorio Durango Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>226</fpage>
<lpage>231</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000400226&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Aun con la disponibilidad de escalas (Alvarado) para mejorar la certeza diagnóstica en la apendicitis aguda, persiste la realización de cirugías incidentales, diagnóstico y tratamiento retardado.  Objetivo:  Determinar la utilidad de la medición de las bilirrubinas séricas para mejorar el diagnóstico de apendicitis aguda.  Material y método:  Pacientes mayores de 18 años, con diagnóstico de sospecha de apendicitis aguda (Alvarado de cinco a ocho), que cumplieran los criterios de inclusión. Se les determinaron los niveles de bilirrubina sérica total (BT), indirecta (BI) y directa (BD) previos a la cirugía. El diagnóstico definitivo fue histopatológico, o evolución clínica en los no quirúrgicos. Se realizaron curvas ROC (curva del receptor operante) para evaluar el desempeño y el mejor punto de corte en cada prueba y determinar la sensibilidad y especificidad.  Resultados:  Fueron incluidos 86 pacientes, 52 (60%) con diagnóstico confirmado de apendicitis aguda. Sesenta y cinco (75%) requirieron de manejo quirúrgico (56 laparotomía y nueve laparoscopia); en 13 (38%), la cirugía fue incidental. En el mejor nivel de corte, la BT (&#8805; 1 mg/dl) tuvo una sensibilidad de 79.4% y una especificidad de 67.2%; para la BI, (&#8805; 0.6 mg/dl), una sensibilidad de 65.5% y especificidad de 73.6%; y para BD (&#8805; 0.2 mg/dl), una sensibilidad de 70.6% y especificidad de 76.9%. Niveles de confirmación diagnóstica: BT &#8805; 1.8 mg/dl, BI &#8805; 1.5 mg/dl y BD &#8805; 0.5 mg/dl.  Conclusiones:  Los niveles séricos de bilirrubinas pueden ser de utilidad diagnóstica, sobre todo en cifras elevadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Even with the availability of scales (Alvarado) to improve diagnostic accuracy in acute appendicitis, incidental performing surgeries and delayed diagnosis and treatment persist.  Objective:  To determine the usefulness of measuring serum bilirubin to improve the diagnosis of acute appendicitis.  Material and method:  Patients older than 18 years, diagnosed with suspected acute appendicitis (Alvarado 5-8) satisfying the inclusion criteria. Their levels of total serum bilirubin (TB), indirect (IB) and direct (DB) bilirubins were determined before surgery. The definitive diagnosis was histopathological, or depended on the clinical course in nonsurgical patients. ROC (receptor operating curve) curves were used to evaluate the performance and the best cut point in each test, and to determine the sensitivity and specificity.  Results:  Eighty-six patients were included, 52 (60%) with a confirmed diagnosis of acute appendicitis. Sixty-five (75%) required surgical management (56 laparoscopic surgery, nine laparotomy); in 13 (38%), surgery was incidental. The best cut level for TB ( &#8805; 1 mg/dl) had a sensitivity of 79.4% and a specificity of 67.2%; for IB ( &#8805; 0.6 mg/dl), a sensitivity of 65.5% and specificity of 73.6%; and DB ( &#8805; 0.2 mg/dl), a sensitivity of 70.6% and specificity of 76.9%. Levels of diagnostic confirmation: TB &#8805; 1.8 mg/dL, IB &#8805; 1.5 mg/dl and DB &#8805; 0.5 mg/dl.  Conclusion:  Serum bilirubin levels can be diagnostically useful, especially in high numbers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bilirrubinas]]></kwd>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="en"><![CDATA[Bilirubins]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Korner]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Söndenaa]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Söreide]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Nysted]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lende]]></surname>
<given-names><![CDATA[TH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of acute non perforated and perforated appendicitis: age-specific and sex specific analysis]]></article-title>
<source><![CDATA[World J Surg]]></source>
<year>1997</year>
<volume>21</volume>
<page-range>313-7</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flum]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Morris]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Koepsell]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Dellinger]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Has misdiagnosis of appendicitis decreased over time? A population-based analysis]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2001</year>
<volume>286</volume>
<page-range>1748-53</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schwarz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bolke]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Peiper]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schulte am Esch]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Steinbach]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[van Griensven]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inflammatory peritoneal reaction after perforated appendicitis: continuous peritoneal lavage versus non lavage]]></article-title>
<source><![CDATA[Eur J Med Res]]></source>
<year>2007</year>
<volume>12</volume>
<page-range>200-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mueller]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Daling]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
<name>
<surname><![CDATA[Weiss]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
<name>
<surname><![CDATA[Spadoni]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Stadel]]></surname>
<given-names><![CDATA[BV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Appendectomy and the risk of tubal infertility]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>1986</year>
<volume>315</volume>
<page-range>1506-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Addis]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Shaffer]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Fowler]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Tauxe]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The epidemiology of appendicitis and appendicectomy in the United States]]></article-title>
<source><![CDATA[Am J Epidemiol]]></source>
<year>1990</year>
<volume>132</volume>
<page-range>910-25</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wesson]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
<name>
<surname><![CDATA[Singer]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
<name>
<surname><![CDATA[Wiley]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute appendicitis in children: clinical manifestations and diagnosis]]></article-title>
<source><![CDATA[UpToDate]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Escribá]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gamell]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Quintillá]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Cubells]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospective validation of two systems of classification for the diagnosis of acute appendicitis]]></article-title>
<source><![CDATA[Pediatr Emerg Care]]></source>
<year>2011</year>
<volume>27</volume>
<page-range>165-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaiser]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Frenckner]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jorulf]]></surname>
<given-names><![CDATA[HK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suspected appendicitis in children: US an CT -A prospective randomized study]]></article-title>
<source><![CDATA[Radiology]]></source>
<year>2002</year>
<volume>223</volume>
<page-range>633-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Douglas]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Macpherson]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Davison]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Gani]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2000</year>
<volume>321</volume>
<page-range>919-22</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Funaki]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Grosskreutz]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Funaki]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital]]></article-title>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>1998</year>
<volume>171</volume>
<page-range>997-1001</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stroman]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Bayouth]]></surname>
<given-names><![CDATA[CV]]></given-names>
</name>
<name>
<surname><![CDATA[Kuhn]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Westmoreland]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Fisher]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The role of computed tomography in the diagnosis of acute appendicitis]]></article-title>
<source><![CDATA[Am J Surg]]></source>
<year>1999</year>
<volume>178</volume>
<page-range>485-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flum]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Koepsell]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The clinical and economic correlates of misdiagnosed appendicitis: Nationwide analysis]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>2002</year>
<volume>137</volume>
<page-range>799-804</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Noh]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The diagnostic values of preoperative laboratory markers in children with complicated appendicitis]]></article-title>
<source><![CDATA[J Korean Surg Soc]]></source>
<year>2012</year>
<volume>83</volume>
<page-range>237-41</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaya]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Sana]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Eris]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Karabulut]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Bat]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Kutanis]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The diagnostic value of D-dimer, procalcitonin and CPR in acute appendicitis]]></article-title>
<source><![CDATA[Int J Med Sci]]></source>
<year>2012</year>
<volume>9</volume>
<page-range>909-15</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Whitehead]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Hainsworth]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kingham]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The causes of obvious jaundice in South West Wales: perceptions versus reality]]></article-title>
<source><![CDATA[Gut]]></source>
<year>2001</year>
<volume>48</volume>
<page-range>409-13</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chand]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Sanyal]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sepsis-induced cholestasis]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>2007</year>
<volume>45</volume>
<page-range>230-41</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shander]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anemia in the critically ill]]></article-title>
<source><![CDATA[Crit Care Clin]]></source>
<year>2004</year>
<volume>20</volume>
<page-range>159-78</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roelofsen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[van der Veere]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Ottenhoff]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Schoemaker]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jansen]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
<name>
<surname><![CDATA[Oude Elferink]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Decreased bilirubin transport in the perfused liver of endotoxemic rats]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>1994</year>
<volume>107</volume>
<page-range>1075-84</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bolder]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Ton-Nu]]></surname>
<given-names><![CDATA[HT]]></given-names>
</name>
<name>
<surname><![CDATA[Schteingart]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Frick]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Hofmann]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hepatocyte transport of bile acids and organic anions in endotoxemic rats: impaired uptake and secretion]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>1997</year>
<volume>112</volume>
<page-range>214-25</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Beier]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gollan]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[egulation of hepatocyte bile salt transporters by endotoxin and inflammatory cytokines in rodents]]></article-title>
<source><![CDATA[Gastroenterology]]></source>
<year>1996</year>
<volume>111</volume>
<page-range>193-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Whiting]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenbluth]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Gollan]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tumor necrosis factor-alpha decreases hepatocyte bile salt uptake and mediates endotoxin-induced cholestasis]]></article-title>
<source><![CDATA[Hepatology]]></source>
<year>1995</year>
<volume>22</volume>
<page-range>1273-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
