s1 April 1962Genesal and Practical Significance of Ammonia in Liver Disease. Lilly Lecture.J. StahlJ. StahlSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-4-681_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptInvestigation of ammonia metabolism in liver disease has developed in a large field, from which some significant basic and practical principles already have emerged. Methods of blood ammonia measurements have to be appraised very critically. In uncomplicated cirrhosis, the ammonia tolerance test with simultaneous measurements of arterial and venous ammonia provides a distinction between hepatic and extrahepatic ammonia metabolism; blood ammonia at different venous levels varies in relation to circulatory conditions.Electroencephalographic changes have been related to different blood ammonia patterns obtained by ammonia loading in cirrhosis. Ammonium salts can induce coma or neurologic symptoms in cirrhotics under special predisposing... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: J. StahlAffiliations: Strasbourg France PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1962Volume 56, Issue 4Page: 681-681KeywordsAmmoniaBloodCirrhosisComaElectroencephalographyHematologic testsLiver diseasesSalts ePublished: 1 December 2008 Issue Published: 1 April 1962 PDF downloadLoading ...