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      Gastrorenal shunt: a cause of hyperammonemia

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          Key Clinical Message

          Gastrorenal shunts may induce hyperammonemia. Portosystemic shunts should be suspected when hyperammonemia occurs in patients with chronic kidney disease.

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          Two Cases of Hemodialysis-associated Chronic Portal-systemic Shunt Encephalopathy (CPSE) with Opposite Changes in the Blood Ammonia Concentrations during Hemodialysis: A Case Report and Literature Review

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            Author and article information

            Contributors
            isao.forward@gmail.com
            Journal
            Clin Case Rep
            Clin Case Rep
            10.1002/(ISSN)2050-0904
            CCR3
            Clinical Case Reports
            John Wiley and Sons Inc. (Hoboken )
            2050-0904
            15 December 2017
            January 2018
            : 6
            : 1 ( doiID: 10.1002/ccr3.2018.6.issue-1 )
            : 240-241
            Affiliations
            [ 1 ] Department of Internal Medicine Saiyu Soka Hospital Soka City Saitama‐ken Japan
            [ 2 ] Department of Pharmacology School of Medicine Showa University Shinagawa‐ku Tokyo Japan
            Author notes
            [* ] Correspondence

            Isao Ohsawa, Saiyu Soka Hospital, 1‐7‐22 Matsubara, Soka, Saitama #344‐0041, Japan. Tel: +81 48 944 6111; Fax: +81 48 944 8080; E‐mail: isao.forward@ 123456gmail.com

            Article
            CCR31323
            10.1002/ccr3.1323
            5771926
            af76dd43-1ebd-4b25-9a92-672cb425f58a
            © 2017 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

            This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

            Page count
            Figures: 1, Tables: 0, Pages: 2, Words: 417
            Product
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            Clinical Image
            Clinical Images
            Custom metadata
            2.0
            ccr31323
            January 2018
            Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.3.1 mode:remove_FC converted:17.01.2018

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