The Hepatic Coma Syndromes and Lactulose

abnormalities activity administration agents alkalosis amines amino acids ammonia intoxication ammonium antibiotic arginine arterial ammonia associates asterixis bacteria biochemical blood ammonia concentration blood ammonia levels bowel brain carbamyl phosphate cause chronic portal-systemic encephalopathy chronic PSE cirrhosis cirrhotic patients Clin Invest clinical colon Conn controlled COOH creased decrease deficiency degradation dietary protein disorders dose double-blind drome drugs Effect of lactulose enemas Engl enzyme excretion fetor hepaticus Figure fluid fulminant hepatic failure Gastroenterology glucose glutamic acid glutamine hepatic coma hepatic encephalopathy hyperammonemia increased induced ingestion investigators Lab Clin lactose lactu lactulose lactulose syrup Lancet liver disease mental metabolism methanethiol methionine monia neomycin neomycin-sorbitol nitrogen normal observed oral patients with PSE plasma portal rats reduced renal reported Reye's syndrome serum shown sorbitol stool pH studies therapeutic tients tion toxic trailmaking test treatment of chronic tryptophan tulose urea cycle urease urine venous