Effect of intrahepatic portal‐systemic shunting on hepatic ammonia extraction in patients with cirrhosis
Fumio Nomura, Kunihiko Ohnishi, Hidetaka Terabayashi, Toshiaki Nakai, Kazumasa Isobe, Kazuhiro Takekoshi, Kunio Okuda – 1 December 1994 – Increased plasma ammonia levels in patients with advanced cirrhosis have been attributed to reduced conversion of enteric ammonia to urea by the diseased liver and to entry of enteric ammonia into systemic circulation by way of portal‐systemic shunts. Because single‐pass extraction is high for portal venous ammonia, reduction of portal blood supply to hepatocytes may have detrimental effects on the hepatic extraction of ammonia.