1990
DOI: 10.1016/0168-8278(90)91363-2
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Vegetable vs animal protein diet in cirrhotic patients with encephalopathy

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Cited by 2 publications
(3 citation statements)
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“…This principle has been exploited in the treatment of patients with liver disorders such as cirrhosis, where elevated levels of ammonia accumulate in body fluids, contributing to the onset of hepatic coma. Administration of the non‐absorbable disaccharide lactulose reduces ammonia recycling by stimulating fermentation by the gut microflora [21, 49]. Recent studies [50] have shown that lactulose decreases protein degradation in colonic contents through inhibition of amino acid metabolism, while Ito et al [51] also observed suppression of amino acid fermentation in intestinal bacteria.…”
Section: Discussionmentioning
confidence: 99%
“…This principle has been exploited in the treatment of patients with liver disorders such as cirrhosis, where elevated levels of ammonia accumulate in body fluids, contributing to the onset of hepatic coma. Administration of the non‐absorbable disaccharide lactulose reduces ammonia recycling by stimulating fermentation by the gut microflora [21, 49]. Recent studies [50] have shown that lactulose decreases protein degradation in colonic contents through inhibition of amino acid metabolism, while Ito et al [51] also observed suppression of amino acid fermentation in intestinal bacteria.…”
Section: Discussionmentioning
confidence: 99%
“…Clinical studies have shown that patients with cirrhosis of liver with chronic portal-systemic encephalopathy tolerated vegetable proteins better than animal protein, and encephalopathy index was lower after vegetable-protein diet than animal-protein diet (Javaglia et al, 1992;Bianchi et al, 1993;Kircheis and Haussinger, 2002). The favorable therapeutic effect of vegetable protein diets on nitrogen metabolism can mainly be accounted for the increased intake of dietary fibers and increased incorporation and elimination of nitrogen in fecal bacteria (Javaglia et al, 1992;Bianchi et al, 1993).…”
Section: Casementioning
confidence: 99%
“…The favorable therapeutic effect of vegetable protein diets on nitrogen metabolism can mainly be accounted for the increased intake of dietary fibers and increased incorporation and elimination of nitrogen in fecal bacteria (Javaglia et al, 1992;Bianchi et al, 1993). Studies also have shown that BCAAsupplemented diet may be useful for treatment of impaired protein metabolism frequently observed in cirrhotic patients.…”
Section: Casementioning
confidence: 99%