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LESTER W. MARTIN, M.D.; LESTER R. BRYANT, M.D.

AMA Arch Surg. 1962;85(5):783-791.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The construction of portal-systemic venous shunts is widely practiced for the relief of portal hypertension with associated bleeding esophageal varices. Information regarding the postoperative patency of such a shunt is frequently of considerable value to the surgeon. The means now available for evaluating the status of such a venous anastomosis include the use of serial barium esophagograms, splenoportography (if the spleen has not been removed), and the ammonium citrate tolerance test.¹ The barium esophagogram does not yield definitive information, and the latter 2 tests carry a small but definite risk to the patient. The purpose of this report is to present our experience with a test which is simple to perform and involves little or no risk or discomfort for the patient.

After oral ingestion of fructose (levulose) by the normal individual, a certain fraction is converted to glucose during passage through the intestinal mucosa,⁵ and the remainder . . . [Full Text PDF of this Article]

Author Affiliations
CINCINNATI

From the Surgical Services of the Cincinnati General Hospital and the Children's Hospital, and the Department of Surgery of the College of Medicine of the University of Cincinnati.

Footnotes
Presented at the 19th Annual Meeting of the Central Surgical Association, Cincinnati, Feb. 21-24, 1962.

Supported in part by NIH Grant M-1175.

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