TY - JOUR
T1 - Ammonia and Carbohydrate Metabolism in Cirrhosis
AU - Gips, Chris H.
AU - Unger, Roger H
PY - 1974/10/10
Y1 - 1974/10/10
N2 - To the Editor: The article of Walker et al. (N Engl J Med 291:168–171, 1974) is interesting, but prompts these comments. In our own four patients with cirrhosis, ammonia levels fell in none and rose in one after oral glucose loading. 1, 2 Ammonia may be liberated from 3 as well as removed by 4 muscle. Exercise liberates ammonia, and the rise of peripheral venous ammonia is greater in patients with cirrhosis than in controls. 5 Therefore, we have to know whether or not the patients of Walker et al. were recumbent and at rest before and during the nine hours of study. As has.
AB - To the Editor: The article of Walker et al. (N Engl J Med 291:168–171, 1974) is interesting, but prompts these comments. In our own four patients with cirrhosis, ammonia levels fell in none and rose in one after oral glucose loading. 1, 2 Ammonia may be liberated from 3 as well as removed by 4 muscle. Exercise liberates ammonia, and the rise of peripheral venous ammonia is greater in patients with cirrhosis than in controls. 5 Therefore, we have to know whether or not the patients of Walker et al. were recumbent and at rest before and during the nine hours of study. As has.
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U2 - 10.1056/NEJM197410102911518
DO - 10.1056/NEJM197410102911518
M3 - Letter
C2 - 4414111
AN - SCOPUS:0016389447
SN - 0028-4793
VL - 291
SP - 795
EP - 796
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 15
ER -