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Serum Albumin, Pseudocholinesterase, and Transaminases in the Assessment of Liver Function Before and After Venous Shunt Operations
  1. Alan H. Hunt,
  2. Hermann Lehmann


    This paper records biochemical and follow-up observations on 153 patients with cirrhosis who have had a shunt operation. The experience confirms that no shunt operation should be undertaken on a patient whose serum albumin level is less than 3·2g.%. Low pseudocholinesterase levels are of help diagnostically but the main value of this test is in indicating whether or not liver function will deteriorate after a shunt operation in any given patient.

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    • * Based on a paper read to the joint meeting of the Association of Clinical Pathologists and the Association of Clinical Biochemists on October 3, 1959.