2007
DOI: 10.1097/ta.0b013e3181507329
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Immunocompetence of the Severely Injured Spleen Verified by Differential Interference Contrast Microscopy: the Red Blood Cell Pit Test

Abstract: DICM, a commonly used test to evaluate splenic-based immunocompetence in patients with sickle cell anemia, hemoglobinopathies, and patients undergoing partial splenectomies, also confirms splenic immunocompetence in patients sustaining up to grade IV splenic injuries. IgM levels earlier thought to be low in patients after splenectomy normalize.

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Cited by 15 publications
(6 citation statements)
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“…An analysis of 275 557 trauma admissions found hollow viscus injuries in association with only 0·3 per cent of blunt injuries, supporting the practice of non‐operative management49. Studies have confirmed long‐term preserved immunocompetence after conservative treatment of high‐grade splenic injury, and preservation should therefore be considered when resources allow adequate follow‐up, albeit with the risk of failure in mind50, 51.…”
Section: Failure Of Non‐operative Managementmentioning
confidence: 99%
“…An analysis of 275 557 trauma admissions found hollow viscus injuries in association with only 0·3 per cent of blunt injuries, supporting the practice of non‐operative management49. Studies have confirmed long‐term preserved immunocompetence after conservative treatment of high‐grade splenic injury, and preservation should therefore be considered when resources allow adequate follow‐up, albeit with the risk of failure in mind50, 51.…”
Section: Failure Of Non‐operative Managementmentioning
confidence: 99%
“…However, it has to be noted that splenic infarcts after selective distal embolization rarely lead to clinical sequelae and splenic abscess can usually be treated percutaneously. Several studies have shown that PSAE and selective embolization have no major long-term impact on the splenic anatomy and immune function [42, 76, 77]. …”
Section: Diagnosticsmentioning
confidence: 99%
“…For that reason, the current recommendation is to treat patients after splenectomy with H. influenzae (Hib), pneumococcal, and meningococcal vaccination [78]. Several studies have shown that proximal ligation of the splenic artery and proximal and selective splenic embolization has no major long-term impact on the splenic anatomy and immune function [42, 76, 77]. Only one recent study suggests that the immunologic profile of embolized patients is reduced to controls.…”
Section: Diagnosticsmentioning
confidence: 99%
“…The CD20 + CD21 + B lymphocyte, which worked as an important producer of IgM, is mainly localized in the spleen (22). It has been reported that the level of IgM would be decreased in patients with splenectomy after trauma (6). Furthermore, there were no significant difference in WBC, RBC, PLT, and Hgb level among the three groups.…”
Section: Discussionmentioning
confidence: 99%
“…We presumed that in our MI model, there was no organic injury to the worked as an important producer of IgM, is mainly localized in the spleen (22). It has been reported that the lungs; therefore, there was no appropriate microenvironment for the activation of milieu-dependent differentialevel of IgM would be decreased in patients with splenectomy after trauma (6). Furthermore, there were no tion of MSCs.…”
Section: Statistical Analysis Assessment Of Liver and Spleen Functionmentioning
confidence: 99%