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June 5, 1943

Diseases of the Liver, Gallbladder and Bile Ducts

JAMA. 1943;122(6):407. doi:10.1001/jama.1943.02840230059027

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The author has done a good job of compilation of physiologic and clinical data. The book is especially valuable for reference because of the extensive bibliography for every chapter. One might take exception to several controversial statements on page 73. The lactic acid cycle is stressed as important, while it comes into play only in certain phases of severe exercise, when lactic acid is formed by muscle as the result of relative anoxemia. On the same page the author makes the statement that glycogen is converted by amylase. There is no amylase present in the normal liver cells. His discussion of liver function is well done. However, in future editions he should correct the statement "Normally the plasma cholesterol is 45 to 75 per cent esterified." The work of Sperry and Schonheimer has shown normal esterification to be between 68 and 72 per cent. For the most part the physician

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