The introduction of the Bilik reaction, the molybdic acid catalyzed interco
nversion of epimeric aldoses, is an important milestone in carbohydrate che
mistry. The essentials of this unique, stereospecific carbon-skeleton rearr
angement of epialdoses are presented. Emphasis is laid on the latest develo
pments in the area, namely the mutual interconversion of 2-ketoses and 2-C-
(hydroxymethyl)aldoses, a reaction that is exploited for the preparation of
some important representatives of these reducing sugars. Mechanistic studi
es with isotopically substituted D-fructoses are also described.