gut 1984 25 85 98 progress report progress in the treatment of chronic portasystemic encephalopathy hepatic encephalopathy resulting from acute episodes of hepatic decompensation in patients with chronic liver disease ...
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...Gut progress report in the treatment of chronic portasystemic encephalopathy hepatic resulting from acute episodes decompensation patients with liver disease is to be distinguished clinically variety less common and seen its most characteristic form large shunts although such shunting can develop spontaneously it more frequently association a surgical shunt procedure presently favoured selective where portal flow t maintained development severe lbwer when measured by psychometric tests however may as high x this latent impairment mental function affect patient s daily functions indeed recent study only hypertension who were not encephalopathic regarded fit drive judged battery toxic factor or factors responsible for whether occurring acutely syndrome are yet known candidates include synergistic effects ammonia fatty acids mercaptans aminobutyric acid gaba plasma amino imbalance our understanding basic pathophysiological mechanisms still incomplete research has provided reasons effectiv...