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Nutritional Effects of Hepatic Failure

  • Chapter
Nutrition

Part of the book series: Human Nutrition ((HUNU,volume 4))

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Abstract

The liver plays a principal role in the digestion, metabolism, and storage of nutrients. Liver disease is commonly associated with a deficiency of nutrients. Among the causes of malnutrition in liver disease are decreased intake, decreased absorption, abnormalities in metabolism, decreased storage, and increased requirements of nutrients. Alcoholism is a frequent etiologic factor in the development of both malnutrition and liver disease, but nutritional deficiencies are common also in liver diseases not associated with alcoholism.

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References

  • Amatuzio, D. S., Stutzman, F., Shrifter, N., and Nesbitt, S., 1952, A study of serum electrolytes (Na, K, Ca, P) in patients with severely decompensated portal cirrhosis of the liver, J. Lab. Clin. Med. 39:26–29.

    CAS  Google Scholar 

  • Arky, R. A., and Freinkel, N., 1969, Hypoglycemic action of alcohol, in: Biochemical and Clinical Aspects of Alcohol Metabolism (V. M. Sardesai, ed.), pp. 67–80, Charles C Thomas, Springfield, 111.

    Google Scholar 

  • Astaldi, G., and Strosselli, E., 1960, Peroral biopsy of the intestinal mucosa in hepatic cirrhosis, Am. J. Dig. Dis. 5:603–612.

    Article  CAS  Google Scholar 

  • Atkinson, M., Nordin, B. E. C., and Sherlock, S., 1956, Malabsorption and bone disease in prolonged obstructive jaundice, Q. J. Med. 25:299–312.

    CAS  Google Scholar 

  • Badley, B. W. D., Murphy, G. M., Bouchier, I. A. D., and Sherlock, S., 1970, Diminished micellar phase lipid in patients with chronic nonalcoholic liver disease and steatorrhea, Gastroenterology 58:781–789.

    CAS  Google Scholar 

  • Baker, H., Frank, O., Ziffer, H., Goldfarb, S., Leevy, C. M., and Sobotka, H., 1964, Effect of hepatic disease on liver B-complex vitamin titers, Am. J. Clin. Nutr. 14:1–6.

    CAS  Google Scholar 

  • Baraona, E., Orrego, H., Fernandez, O., Amenabar, E., Maldonado, E., Tag, F., and Salinas, A., 1962, Absorptive function of the small intestine in liver cirrhosis, Am. J. Dig. Dis. 7:318–330.

    Article  CAS  Google Scholar 

  • Baraona, E., Pirola, R. C., and Lieber, C. S., 1974, Small intestinal damage and changes in cell population produced by ethanol ingestion in the rat, Gastroenterology 66:226–234.

    CAS  Google Scholar 

  • Berkowitz, D., 1969, Glucose tolerance, free fatty acid, and serum insulin responses in patients with cirrhosis, Am. J. Dig. Dis. 14:691–699.

    Article  CAS  Google Scholar 

  • Bertino, J. R., Ward, J., Sartorelli, A. C., and Silber, R., 1965, An effect of ethanol on folate metabolism, J. Clin. Invest. 44:1028.

    Google Scholar 

  • Bianchi, R., Mariani, G., Pilo, A., and Toni, M. G., 1974, Serum albumin turnover in liver cirrhosis, J. Nucl. Biol. Med. 18:20–29.

    CAS  Google Scholar 

  • Boyett, J. D., and Sullivan, J. F., 1970a, Zinc and collagen content of cirrhotic liver, Am. J. Dig. Dis. 15:797–802.

    Article  CAS  Google Scholar 

  • Boyett, J. D., and Sullivan, J. F., 1970b, Distribution of protein-bound zinc in normal and cirrhotic serum, Metabolism 19:148–157.

    Article  CAS  Google Scholar 

  • Casey, T. H., Summerskill, W. H. J., and Orvis, A. L., 1965, Body and serum potassium in liver disease, I: Relationship to hepatic function and associated factors, Gastroenterology 48:198–207.

    CAS  Google Scholar 

  • Chang, T., Lewis, J., and Glazko, A. J., 1967, Effect of ethanol and other alcohols on the transport of amino acids and glucose by everted sacs of rat small intestine, Biochim. Biophys. Acta 135:1000–1007.

    Article  CAS  Google Scholar 

  • Cherrick, G. R., Baker, H., Frank, O., and Leevy, C.M., 1965, Observations on hepatic avidity for folate in Laennec’s cirrhosis, J. Lab. Clin. Med. 66:446–451.

    CAS  Google Scholar 

  • Collesson, L., Grilliat, J. P., Mathieu, J., and Laurent, J., 1965, L’ostéose raréfiante dans les cirrhoses du foie, Presse Med. 73:2571–2574.

    CAS  Google Scholar 

  • Collins, J. R., and Crofford, O. B., 1969, Glucose tolerance and insulin resistance in patients with liver disease, Arch. Intern. Med. 124:142–148.

    Article  CAS  Google Scholar 

  • Collins, J. R., Lacy, W. W., Stiel, J. N., and Crofford, O. B., 1970, Glucose intolerance and insulin resistance in patients with liver disease, II: A study of etiologie factors and evaluation of insulin actions, Arch. Intern. Med. 126:608–614.

    Article  CAS  Google Scholar 

  • Conn, H. O., 1970, Cirrhosis and diabetes, IV: Effect of potassium chloride administration on glucose and insulin metabolism, Am. J. Med. Sci. 259:394–404.

    Article  CAS  Google Scholar 

  • Corrocher, R., De Sandre, G., Pacor, M. L., and Hoffbrand, A. V., 1974, Hepatic protein binding of folate, Clin. Sci. Mol. Med. 46:551–554.

    CAS  Google Scholar 

  • Davis, A. E., and Biggs, J. C., 1964, Iron absorption in haemochromatosis and cirrhosis of the liver, Australas. Ann. Med. 13:201–203.

    CAS  Google Scholar 

  • Dempsey, H., Cartwright, G. E., and Wintrobe, M. M., 1958, Copper metabolism, XXVII: Influence of biliary duct ligation on serum and tissue copper, Proc. Soc. Exp. Biol. Med. 99:67–69.

    CAS  Google Scholar 

  • Deutsch, E., 1965, Blood coagulation changes in liver disease, in: Progress in Liver Diseases (H. Popper and F. Schaffner, eds.), pp. 69–83, Grune & Stratton, New York,

    Google Scholar 

  • de Wardener, H. E., 1969, Control of sodium reabsorption, Br. Med. J. 3:611–616, 676–683.

    Article  Google Scholar 

  • Eichner, E. R., Pierce, H. I., and Hillman, R. S., 1971, Folate balance in dietary-induced megaloblastic anemia, New Engl. J. Med. 284:933–938.

    Article  CAS  Google Scholar 

  • Faraj, B. A., Bowen, P. A., Isaacs, J. W., and Rudman, D., 1976, Hypertyraminemia in cirrhotic patients, New Engl. J. Med. 294:1360–1364.

    Article  CAS  Google Scholar 

  • Fast, B. B., Wolfe, S. J., Stormont, J. M., and Davidson, C. S., 1959, Fat absorption in alcoholics with cirrhosis, Gastroenterology 37:321–324.

    CAS  Google Scholar 

  • Felig, P., Brown, W. V., Levine, R. A., and Klatskin, G., 1970, Glucose homeostasis in viral hepatitis, New Engl. J. Med. 283:1436–1440.

    Article  CAS  Google Scholar 

  • Fennelly, J., Frank, O., Baker, H., and Leevy, C.M., 1967, Red blood cell-transketolase activity in malnourished alcoholics with cirrhosis, Am. J. Clin. Nutr. 20:946–949.

    CAS  Google Scholar 

  • Fernstrom, J. D., and Wurtman, R. J., 1972, Brain serotonin content: Physiological regulation by plasma neutral amino acids, Science 178:414–416.

    Article  CAS  Google Scholar 

  • Fischer, J. E., Funovics, J. M., Aguirre, A., James, J. H., Keane, J. M., Westdrop, R. I. C, Yoshimura, N., and Westman, T., 1975, The role of plasma amino acids in hepatic encephalopathy, Surgery 78:276–290.

    CAS  Google Scholar 

  • Fischer, J. E., Rosen, H. M., Ebeid, A. M., James, J. H., Keane, J. M., and Soeters, P. B., 1976, The effect of normalization of plasma amino acids on hepatic encephalopathy in man, Surgery 80:77–91.

    CAS  Google Scholar 

  • Fleming, C. R., Dickson, E. R., Baggenstoss, A. H., and McCall, J. T., 1974, Copper and primary biliary cirrhosis, Gastroenterology 67:1182–1187.

    CAS  Google Scholar 

  • Forsander, O. A., 1966, Influence of the metabolism of ethanol on the lactate/pyruvate ratio of rat-liver slices, Biochem. J. 98:244–247.

    CAS  Google Scholar 

  • Frank, O., Luisada-Oper, A., Sorrell, M. F., Thomson, A. D., and Baker, H., 1971, Vitamin deficits in severe alcoholic fatty liver of man calculated from multiple reference units, Exp. Mol. Pathol. 15:191–197.

    Article  CAS  Google Scholar 

  • Freinkel, N., Singer, D. L., Arky, R. A., Bleicher, S. J., Anderson, J. B., and Silbert, C. K., 1963, Alcohol hypoglycemia, I: Carbohydrate metabolism of patients with clinical alcohol hypoglycemia and the experimental reproduction of the syndrome with pure ethanol, J. Clin. Invest. 42:1112–1133.

    Article  CAS  Google Scholar 

  • Friedman, A. I., and McEwan, G., 1963, Small bowel absorption in portal cirrhosis with ascites, Am. J. Gastroenterol. 39:114–122.

    CAS  Google Scholar 

  • Gabuzda, G. J., and Shear, L., 1970, Metabolism of dietary protein in hepatic cirrhosis, Am. J. Clin. Nutr. 23:479–487.

    CAS  Google Scholar 

  • Gabuzda, G. J., Jr., Eckhardt, R. D., and Davidson, C. S., 1952, Urinary excretion of amino acids in patients with cirrhosis of the liver and in normal adults, J. Clin. Invest. 31:1015–1022.

    Article  CAS  Google Scholar 

  • Ginsberg, H., Olefsky, J., Farquhar, J. W., and Reaven, G. M., 1974, Moderate ethanol ingestion and plasma triglyceride levels: A study of normal and hypertriglyceridemic persons, Ann. Intern. Med. 80:143–149.

    CAS  Google Scholar 

  • Glass, G. B. J., and Mersheimer, W. L., 1960, Metabolic turnover of vitamin B12 in the normal and diseased liver, Am. J. Clin. Nutr. 8:285–292.

    CAS  Google Scholar 

  • Grace, N. D., Moore, E. W., and Chalmers, T. C., 1967, The pancreas and iron absorption: In vitro studies of iron-pancreatic interactions, Gastroenterology 52:1113.

    Google Scholar 

  • Greenberg, M. S., Strohmeyer, G., Hine, G. J., Keene, W. R., Curtis, G., and Chalmers, T. C, 1964, Studies on iron absorption, III: Body radioactivity measurements of patients with liver diseases, Gastroenterology 46:651–661.

    CAS  Google Scholar 

  • Gross, J. B., Comfort, M. W., Wollaeger, E. E., and Power, M. H., 1950, External pancreatic function in primary parenchymatous hepatic disease as measured by analysis of duodenal contents before and after stimulation with secretin, Gastroenterology 16:151–161.

    CAS  Google Scholar 

  • Gudbjarnason, S., and Prasad, A. S., 1969, Cardiac metabolism in experimental alcoholism, in: Biochemical and Clinical Aspects of Alcohol Metabolism (V. M. Sardesai, ed.), pp. 266–272, Charles C Thomas, Springfield, 111.

    Google Scholar 

  • Hahn, T. J., Birge, S. J., Scharp, C. R., and Avioli, L. V., 1972, Phenobarbital-induced alterations in vitamin D metabolism, J. Clin. Invest. 51:741–748.

    Article  CAS  Google Scholar 

  • Halsted, C. H., Robles, E. A., and Mezey, E., 1973, Intestinal malabsorption in folate-deficient alcoholics, Gastroenterology 64:526–532.

    CAS  Google Scholar 

  • Heinemann, H. O., and Emirgil, C., 1960, Hypokalemia in liver disease, Metabolism 9:869–879.

    CAS  Google Scholar 

  • Hepner, G. W., Roginsky, M., and Moo, H. F., 1976, Abnormal vitamin D metabolism in patients with cirrhosis, Am. J. Dig. Dis. 21:527–532.

    Article  CAS  Google Scholar 

  • Hines, J. D., 1975, Hemotologic abnormalities involving vitamin B6 and folate metabolism in alcoholic subjects, Ann.N.Y. Acad. Sci. 252:316–327.

    Article  CAS  Google Scholar 

  • Hines, J. D., and Cowan, D. H., 1970, Studies on the pathogenesis of alcohol-induced sideroblastic bone marrow abnormalities, New Engl. J. Med. 283:441–446.

    Article  CAS  Google Scholar 

  • Hirayama, C., 1971, Tryptophan metabolism in liver disease, Clin. Chim. Acta 32:191–197.

    Article  CAS  Google Scholar 

  • Iber, F. L., 1966, Protein loss into the gastrointestinal tract in cirrhosis of the liver, Am. J. Clin. Nutr. 19:219–222.

    CAS  Google Scholar 

  • Iber, F. L., Rosen, H., Levenson, S. M., and Chalmers, T. C., 1957, The plasma amino acids in patients with liver failure, J. Lab. Clin. Med. 50:417–425.

    CAS  Google Scholar 

  • Israel, Y., Salazar, I., and Rosenmann, E., 1968, Inhibitory effects of alcohol on intestinal amino acid transport in vivo and in vitro, J. Nutr. 96:499–504.

    CAS  Google Scholar 

  • Israel, Y., Valenzuela, J. E., Salazar, I., and Ugarte, G., 1969, Alcohol and amino acid transport in the human small intestine, J. Nutr. 98:222–224.

    CAS  Google Scholar 

  • Kägi, J. H. R., and Vallée, B. L., 1960, Metallothionein: A cadmium and zinc-containing protein from equine renal cortex, J. Biol. Chem. 235:3460–3465.

    Google Scholar 

  • Keating, J. P., Karl, I. E., DeVivo, D. C., and Haymond, M. W., 1975, Hypophosphatemia in Reye’s syndrome, (Letter), Lancet 2:39–40.

    Article  CAS  Google Scholar 

  • Kekomäki, M., Schwartz, A. L., and Pentikäinen, P., 1970, Rate of urea synthesis in normal and cirrhotic rat liver with reference to the arginine synthetase system, Scand. J. Gastroenterol. 5:375–380.

    Google Scholar 

  • Khatra, B. S., Smith, R. B., III, Millikan, W. J., Sewell, C. W., Warren, W. D., and Rudman, D., 1974, Activities of Krebs-Henseleit enzymes in normal and cirrhotic human liver, J. Lab. Clin. Med. 84:708–715.

    CAS  Google Scholar 

  • Kinney, T. D., Kaufman, N., and Klavins, J., 1955, Effect of ethionine-induced pancreatic damage on iron absorption, J. Exp. Med. 102:151–156.

    Article  CAS  Google Scholar 

  • Kirsch, R., Frith, L., Black, E., and Hoffenberg, R., 1968, Regulation of albumin synthesis and catabolism by alteration of dietary protein, Nature (Lond.) 217:578–579.

    Article  CAS  Google Scholar 

  • Leach, R. M., Jr., 1971, Role of manganese in mucopolysaccharide metabolism, Fed. Proc. 30:991–994.

    CAS  Google Scholar 

  • Lee, S. P., and Lai, K. S., 1976, Exocrine pancreatic function in hepatic cirrhosis, Am. J. Gastroenterol. 65:244–248.

    CAS  Google Scholar 

  • Leevy, C. M., 1966, Abnormalities of hepatic DNA synthesis in man, Medicine 45:423–433.

    Article  CAS  Google Scholar 

  • Leevy, C. M., 1967, Clinical diagnosis, evaluation, and treatment of liver disease in alcoholics, Fed. Proc. 26:1474–1481.

    CAS  Google Scholar 

  • Leevy, C. M., Baker, H., TénHove, W., Frank, O., and Cherrick, G. R., 1965, B-complex vitamins in liver disease of the alcoholic, Am. J. Clin. Nutr. 16:339–346.

    CAS  Google Scholar 

  • Leevy, C. M., Thompson, A., and Baker, H., 1970, Vitamins and liver injury, Am. J. Clin. Nutr. 23:493–499.

    CAS  Google Scholar 

  • Leevy, C. M., Valdellon, E., and Smith, F., 1971, Nutritional factors in alcoholism and its complications, in: Biological Basis of Alcoholism (Y. Israel and J. Mardones, eds.), pp. 365–382, Wiley-Interscience, New York.

    Google Scholar 

  • Lieber, C. S., and Spritz, N., 1966, Effects of prolonged ethanol intake in man: Role of dietary, adipose, and endogenously synthesized fatty acids in the pathogenesis of the alcoholic fatty liver, J. Clin. Invest. 45:1400–1411.

    Article  CAS  Google Scholar 

  • Lim, P., and Jacobs, E., 1972, Magnesium deficiency in liver cirrhosis, J. Med. 41:291–300.

    CAS  Google Scholar 

  • Lindenbaum, J., and Lieber, C. S., 1969, Alcohol induced malabsorption of vitamin B12 in man, Nature (Lond) 224:806.

    Article  CAS  Google Scholar 

  • Linscheer, W. G., 1970, Malabsorption in cirrhosis, Am. J. Clin. Nutr. 23:488–492.

    CAS  Google Scholar 

  • Lumeng, L., and Li, T. K., 1974, Vitamin B6 metabolism in chronic alcohol abuse: Pyridoxal phosphate levels in plasma and the effects of acetaldehyde on pyridoxal phosphate synthesis and degradation of human erytrocytes, J. Clin. Invest. 53:693–704.

    Article  CAS  Google Scholar 

  • Maddrey, W. C., Weber, F. L., Jr., Coulter, A. W., CHura, C. M., Chapanis, N. P., and Walser, M., 1976, Effects of keto analogues of essential amino acids in portal-systemic encephalopathy, Gastroenterology 71:190–195.

    CAS  Google Scholar 

  • Mader, I. J., and Iseri, L. T., 1955, Spontaneous hypopotassemia, hypomagnesemia, alkalosia, and tetany due to hypersecretion of cortisone-like mineralocoticoids, Am. J. Med. 19:976–988.

    Article  CAS  Google Scholar 

  • Maier, K. P., Volk, B., Hoppe-Seyler, G., and Gerok, W., 1974, Urea-cycle enzymes in normal liver and in patients with alcoholic hepatitis, Eur. J. Clin. Invest. 4:193–195.

    CAS  Google Scholar 

  • Malagelada, J. R., Pihl, O., and Linscheer, W. G., 1974, Impaired absorption of micellar longchain fatty acid in patients with alcoholic cirrhosis, Am. J. Dig. Dis. 19:1016–1020.

    Article  CAS  Google Scholar 

  • Mann, F. C., 1927, The effects of complete and of partial removal of the liver, Medicine 6:419–511.

    Article  Google Scholar 

  • Manzato, E., Fellin, R., Baggio, G., Walch, S., Neubeck, W., and Seidel, D., 1976, Formation of lipoprotein-X: Its relationship to bile compounds, J. Clin. Invest. 57:1248–1260.

    Article  CAS  Google Scholar 

  • Marin, G. A., Clark, M. L., and Senior, J. R., 1968, Distribution of d-xylose in sequestered fluid resulting in false positive tests for malabsorption, Ann. Intern. Med. 69:1155–1162.

    CAS  Google Scholar 

  • Marin, G. A., Clark, M. L., and Senior, J. R., 1969, Studies of malabsorption occurring in patients with Laennec’s cirrhosis, Gastroenterology 56:727–736.

    Google Scholar 

  • Mayer, G., and Schomerus, H., 1975, Synthesis rates of albumin and fibrinogen during and after acute hepatitis, Digestion 13:261–271.

    Article  CAS  Google Scholar 

  • McCollister, R. J., Flink, E. B., and Lewis, M. D., 1963, Urinary excretion of magnesium in man following the ingestion of ethanol, Am. J. Clin. Nutr. 12:415–420.

    CAS  Google Scholar 

  • McNeely, M. D., Sunderman, F. W., Jr., Nechay, N. W., and Levine, H., 1971, Abnormal concentrations of nickel in serum in cases of myocardial infarction, stroke, burns, hepatic cirrhosis, and uremia, Clin. Chem. 17:1123–1128.

    CAS  Google Scholar 

  • Mendel, G. A., 1964, Increased iron absorption during liver regeneration induced by partial hepatectomy, Am. Med. Assoc. 189:369–370.

    Article  CAS  Google Scholar 

  • Mertz, W., 1976, Chromium and its relation to carbohydrate metabolism, Med. Clin. North Am. 60:739–744.

    CAS  Google Scholar 

  • Mezey, E., 1975, Intestinal function in chronic alcoholism, Ann.N.Y. Acad. Sci. 252:215–227.

    Article  CAS  Google Scholar 

  • Mezey, E., and Faillace, L. A., 1971, Metabolic impairment and recovery time in acute ethanol intoxication, J. Nerv. Ment. Dis. 153:445–452.

    Article  CAS  Google Scholar 

  • Mezey, E., and Potter, J. J., 1976, Changes in exocrine pancreatic function produced by altered dietary protein intake in drinking alcoholics, Johns Hopkins Med. J. 138:7–12.

    CAS  Google Scholar 

  • Mezey, E., Jow, E., Slavin, R. E., and Tobon, F., 1970, Pancreatic function and intestinal absorption in chronic alcoholism, Gastroenterology 59:657–664.

    CAS  Google Scholar 

  • Miller, L. L., 1962, The role of the liver and the non-hepatic tissues in the regulation of free amino acid levels in the blood, in: Amino Acid Pools (J. T. Holden, ed.), pp. 708–721, Elsevier, Amsterdam.

    Google Scholar 

  • Mistilis, S. P., and Ockner, R. K., 1972, Effects of ethanol on endogenous lipid and lipoprotein metabolism in small intestine, J. Lab. Clin. Med. 80:34–46.

    CAS  Google Scholar 

  • Moeller, D. D., Dunn, G. D., and Klotz, A. P., 1974, Pancreatic function in malabsorbing alcoholic cirrhotics, Am. J. Dig. Dis. 19:779–784.

    Article  Google Scholar 

  • Morgan, A. G., Kelleher, J., Walker, B. E., and Losowsky, M. S., 1976, Nutrition in cryptogenic cirrhosis and chronic aggressive hepatitis, Gut 17:113–118.

    Article  CAS  Google Scholar 

  • Morrison, S. A., Russell, R. M., Carney, E. A., and Oaks, E. V., 1976, Failure of cirrhotics with hypovitaminosis A to achieve normal dark adaptation performance on vitamin A replacement, Gastroenterology 71:922 (abstr.).

    Google Scholar 

  • Murray, J., and Stein, N., 1966, The case for increased iron absorption in liver disease, Medicine 45:507–512.

    Article  CAS  Google Scholar 

  • Murray, M. J., and Stein, N., 1964, The effect of ligation of the pancreatic duct of rats on the absorption of Fe59 and its deposition in the liver, J. Lab. Clin. Med. 64:989–990.

    Google Scholar 

  • Ning, M., Lowenstein, L. M., and Davidson, C. S., 1967, Serum amino acid concentrations in alcoholic hepatitis, J. Lab. Clin. Med. 70:554–562.

    CAS  Google Scholar 

  • Olatunbosun, D., Corbett, W. E. N., Ludwig, J., and Valberg, L. S., 1970, Alteration of cobalt absorption in portal cirrhosis and idiopathic hemochromatosis, J. Lab. Clin. Med. 75:754–762.

    CAS  Google Scholar 

  • Paine, C. J., Eichner, E. R., and Dickson, V., 1973, Concordance of radioassay and microbiological assay in the study of the ethanol-induced fall in serum folate level, Am. J. Med. Sci. 266:135–138.

    Article  CAS  Google Scholar 

  • Papavasiliou, P. S., Miller, S. T., and Cotzias, G. C., 1966, Role of liver in regulating distribution and excretion of manganese, Am. J. Physiol. 211:211–216.

    CAS  Google Scholar 

  • Patek, A. J., Jr., and Haig, C., 1939, The occurrence of abnormal dark adaptation and its relation to vitamin A metabolism in patients with cirrhosis of the liver, J. Clin. Invest. 18:609–616.

    Article  CAS  Google Scholar 

  • Pfrunner, G., Nguyen-Huy, N., Bockel, R., and Stahl, A., 1973, Études de l’uréogenèse dans les cirrhoses hépatiques par le dosage de l’activité de l’ornithine-carbamoyl-transférase et de l’arginase sur prélèvements biopsiques de foie, Pathol. Biol. 21:719–723.

    CAS  Google Scholar 

  • Podolsky, S., Zimmerman, H. J., Burrows, B. A., Cardarelli, J. A., and Pattavina, C. G., 1973, Potassium depletion in hepatic cirrhosis: A reversible cause of impaired growth-hormone and insulin response to stimulation, New Engl. J. Med. 288:644–648.

    Article  CAS  Google Scholar 

  • Reyes, H., Levi, A. J., Gatmaitan, Z., and Arias, I. M., 1971, Studies of Y and Z, two hepatic cytoplasmic organic anion-binding proteins: Effect of drugs, chemicals, hormones, and cholestasis, J. Clin. Invest. 50:2242–2252.

    Article  CAS  Google Scholar 

  • Roberts, H. R., and Cederbaum, A. I., 1972, The liver and blood coagulation: Physiology and pathology, Gastroenterology 63:297–320.

    CAS  Google Scholar 

  • Rothschild, M. A., Oratz, M., Zimmon, D., Schreiber, S. S., Weiner, I., and Van Caneghem, A., 1969, Albumin synthesis in cirrhotic subjects with ascites studied with carbonate-14C, J. Clin. Invest. 48:344–350.

    Article  CAS  Google Scholar 

  • Rothschild, M. A., Oratz, M., and Schreiber, S. S., 1974, Alcohol, amino acids, and albumin synthesis, Gastroenterology 67:1200–1213.

    CAS  Google Scholar 

  • Rubin, E., Rybak, B. J., Lindenbaum, J., Gerson, C. D., Walker, G., and Lieber, C. S., 1972, Ultrastructural changes in the small intestine induced by ethanol, Gastroenterology 63:801–814.

    CAS  Google Scholar 

  • Rudman, D., Akgun, S., Galambos, J. T., McKinney, A. S., Cullen, A. B., Gerron, G. G., and Howard, C. H., 1970, Observations on the nitrogen metabolism of patients with portal cirrhosis, Am. J. Clin. Nutr. 23:1203–1211.

    CAS  Google Scholar 

  • Rudman, D., DiFulco, T. J., Galambos, J. T., Smith, R. B., III, Salam, A. A., and Warren, W. D., 1973, Maximal rates of excretion and synthesis of urea in normal and cirrhotic subjects, J. Clin. Invest. 52:2241–2249.

    Article  CAS  Google Scholar 

  • Sarles, H., Figarella, C., and Clémente, F., 1971, The interaction of ethanol, dietary lipid, and proteins on the rat pancreas, I: Pancreatic enzymes, Digestion 4:13–22.

    Article  CAS  Google Scholar 

  • Saunders, S. J., Bank, S., and Airth, E., 1962, Iron absorption in pancreatic disease, Lancet 2:510.

    Article  Google Scholar 

  • Saville, P. D., 1975, Alcohol-related skeletal disorders, Ann.N.Y. Acad. Sci. 252:287–291.

    Article  CAS  Google Scholar 

  • Schroeder, E. T., Eich, R. H., Smulyan, H., Gould, A. B., and Gabuzda, G. J., 1970, Plasma renin level in hepatic cirrhosis, Am. J. Med. 49:186–191.

    Article  CAS  Google Scholar 

  • Schwartz, K., 1965, The role of vitamin E, selenium, and related factors in experimental nutritional liver disease, Fed. Proc. 24:58–67.

    Google Scholar 

  • Sestoft, L., and Rehfeld, J. F., 1970, Insulin and glucose metabolism in liver cirrhosis and in liver failure, Scand. J. Gastroenterol. Suppl. 7:133–136.

    CAS  Google Scholar 

  • Simon, J. B., Kepkay, D. L., and Poon, R., 1974, Serum cholesterol esterification in human liver disease: Role of lecithin-cholesterol acyltransferase and cholesterol ester hydrolase, Gastroenterology 66:539–547.

    CAS  Google Scholar 

  • Smallwood, R. A., Williams, H. A., Rosenoer, V. M., and Sherlock, S., 1968, Liver-copper levels in liver disease: Studies using neutron activation analysis, Lancet 2:1310–1313.

    Article  CAS  Google Scholar 

  • Smith, F. R., and Goodman, D. S., 1971, The effects of diseases of the liver, thyroid and kidneys on the transport of vitamin A in human plasma, J. Clin. Invest. 50:2426–2436.

    Article  CAS  Google Scholar 

  • Sorrell, M. F., Baker, H., Barak, A. J., and Frank, O., 1974, Release by ethanol of vitamins into rat liver perfusates, Am. J. Clin. Nutr. 27:743–745.

    CAS  Google Scholar 

  • Stabenau, J. R., Warren, K. S., and Rail, D. P., 1959, The role of pH gradient in the distribution of ammonia between blood and cerebrospinal fluid, brain and muscle, J. Clin. Invest. 38:373–383.

    Article  CAS  Google Scholar 

  • Stein, J. H., Smith, W. O., and Ginn, H. E., 1966, Hypophosphatemia in acute alcoholism, Am. J. Med. Sci. 252:78–83.

    Article  CAS  Google Scholar 

  • Strickland, G. T., and Leu, M. L., 1975, Wilson’s disease: Clinical and laboratory manifestations in 40 patients, Medicine 54:113–137.

    CAS  Google Scholar 

  • Sullivan, J. F., and Heaney, R. P., 1970, Zinc metabolism in alcoholic liver disease, Am. J. Clin. Nutr. 23:170–177.

    CAS  Google Scholar 

  • Sullivan, L. W., and Herbert, V., 1964, Suppression of hematopoiesis by ethanol, J. Clin. Invest. 43:2048–2062.

    Article  CAS  Google Scholar 

  • Summerskill, W. H. J., and Moertel, C. G., 1962, Malabsorption syndrome associated with anicteric liver disease, Gastroenterology 42:380–392.

    CAS  Google Scholar 

  • Summerskill, W. H. J., Wolfe, S. J., and Davidson, C. S., 1957, The metabolism of ammonia and a-keto-acids in liver disease and hepatic coma, J. Clin. Invest. 36:361–372.

    Article  CAS  Google Scholar 

  • Sun, D. C., Albacete, R. A., and Chen, J. K., 1967, Malabsorption studies in cirrhosis of the liver, Arch. Intern. Med. 119:567–572.

    Article  CAS  Google Scholar 

  • Swartz, M. C., Brewster, A. C., and Sullivan, J. F., 1966, Fat transport in cirrhosis, Am. J. Med. Sci. 252:701–708.

    CAS  Google Scholar 

  • Thallassinos, N., Hatzioannou, J., Scliros, Ph., Kanaghinis, T., Anastosiou, C., Crocos, P., Thomopoulos, D., and Gardikas, C., 1975, Plasma a-lipoprotein pattern in acute viral hepatitis, Am. J. Dig. Dis. 20:148–155.

    Article  Google Scholar 

  • Thompson, G. R., Barrowman, J., Gutierrez, L., and Dowling, R. H., 1971, Actions of neomycin on the intraluminal phase of lipid absorption, J. Clin. Invest. 50:319–323.

    Article  CAS  Google Scholar 

  • Vallee, B. L., 1959, Biochemistry, physiology, and pathology of zinc, Physiol. Rev. 39:443–490.

    CAS  Google Scholar 

  • Van Goidsenhoven, G. E., Henke, W. J., Vacca, J. B., and Knight, W. A., Jr., 1963, Pancreatic function in cirrhosis of the liver, Am. J. Dig. Dis. 8:160–173.

    Article  Google Scholar 

  • Victor, M., 1973, The role of hypomagnesemia and respiratory alkalosis in the genesis of alcohol-withdrawal symptoms, Ann. N.Y. Acad. Sci. 215:235–248.

    Article  CAS  Google Scholar 

  • Vlahcevic, Z. R., Buhac, I., Farrar, J. T., Bell, C. C., Jr., and Swell, L., 1971, Bile acid metabolism in patients with cirrhosis, I: Kinetic aspects of cholic acid metabolism, Gastro-enterology 60:491–498.

    CAS  Google Scholar 

  • Volini, F., de la Huerga, J., and Kent, G., 1968, Trace metal studies in liver disease using atomic absorption spectrometry, in: Laboratory Diagnosis of Liver Disease (F. W. Sunderman and F. W. Sunderman, Jr., eds.), pp. 199–219, Warren H. Green, St. Louis, Mo.

    Google Scholar 

  • Wagonfeld, J. B., Nemchausky, B. A., Bolt, M., Horst, J. V., Boyer, J. L., and Rosenberg, I. H., 1976, Comparison of vitamin D and 25-hydroxyvitamin D in the therapy of primary biliary cirrhosis, Lancet 2:391–393.

    Article  CAS  Google Scholar 

  • Wahner-Roedler, D. L., Fairbanks, V. F., and Linman, J. W., 1975, Cobalt excretion test as index of iron absorption and diagnostic test for iron deficiency, J. Lab. Clin. Med. 85:253–259.

    CAS  Google Scholar 

  • Walker, B. E., Dawson, J. B., Kelleher, J., and Losowsky, M. S., 1973, Plasma and urinary zinc in patients with malabsorption syndromes or hepatic cirrhosis, Gut 14:943–948.

    Article  CAS  Google Scholar 

  • Walshe, J. M., and Senior, B., 1955, Disturbances of cystine metabolism in liver disease, J. Clin. Invest. 34:302–310.

    Article  CAS  Google Scholar 

  • Waters, A. H., Morley, A. A., and Rankin, J. G., 1966, Effect of alcohol on haemopoiesis, Br. Med. J. 2:1565–1568.

    Article  CAS  Google Scholar 

  • Williams, R., Williams, H. S., Scheuer, P. J., Pitcher, C. S., Loiseau, E., and Sherlock, S., 1967, Iron absorption and siderosis in chronic liver disease, Q. J. Med. 36:151–166.

    CAS  Google Scholar 

  • Worning, H. S., Müllertz, S., Thaysen, E. H., and Bang, H. O., 1967, pH and concentration of pancreatic enzymes in aspirates from the human duodenum during digestion of a standard meal in patients with biliary and hepatic disorders, Scand. J. Gastroenterol. 2:150–156.

    Article  CAS  Google Scholar 

  • Wu, C., Bollman, J. L., and Butt, H. R., 1955, Changes in free amino acids in the plasma during hepatic coma, J. Clin. Invest. 34:845–849.

    Article  CAS  Google Scholar 

  • Wurtman, R. J., Larin, F., Mostafapour, S., and Fernstrom, J. D., 1974, Brain cathechol synthesis: Control by brain tyrosine concentration, Science 185:183–184.

    Article  CAS  Google Scholar 

  • Zinneman, H. H., Seal, U. S., and Doe, R. P., 1969, Plasma and urinary amino acids in Laennec’s cirrhosis, Am. J. Dig. Dis. 14:118–126.

    Article  CAS  Google Scholar 

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Mezey, E. (1979). Nutritional Effects of Hepatic Failure. In: Hodges, R.E. (eds) Nutrition. Human Nutrition, vol 4. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7213-8_5

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