The Hepatic Coma Syndromes and Lactulose

abnormalities absorption acidification acute PSE administration agents amino acids ammonia intoxication ammonium antibiotics arginine arterial ammonia associates asterixis azotemia bacteria biochemical blood ammonia concentration blood ammonia levels bowel brain carbamyl phosphate cathartic cause chronic portal-systemic encephalopathy chronic PSE cirrhosis cirrhotic patients Clin Invest clinical colon Conn controlled COOH decrease deficiency dietary protein dosage dose double-blind drugs Effect of lactulose enemas Engl enzymes excretion fatty fecal Figure fluid fulminant hepatic failure galactose Gastroenterology glucose glutamic acid hepatic coma hepatic encephalopathy hyperammonemia increase induced ingestion intestinal tract investigators L-Dopa Lab Clin lactobacilli lactose lactu lactulose lactulose syrup Lancet liver disease mental metabolism monia neomycin neomycin-sorbitol nitrogen normal oral ornithine patients with PSE plasma portacaval portal protein rats reduced reported Reye's syndrome shown shunt sorbitol stool pH studies therapeutic tients tion toxicity trailmaking test treatment of chronic tulose urea cycle urease urine