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Effective balloon-occluded retrograde transvenous obliteration of the superior mesenteric vein–inferior vena cava shunt in a patient with hepatic encephalopathy after living donor liver transplantation


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Title: Effective balloon-occluded retrograde transvenous obliteration of the superior mesenteric vein–inferior vena cava shunt in a patient with hepatic encephalopathy after living donor liver transplantation
Authors: Baimakhanov, Zhassulan / Soyama, Akihiko / Takatsuki, Mitsuhisa / Inoue, Yusuke / Matsushima, Hajime / Hidaka, Masaaki / Kitasato, Amane / Adachi, Tomohiko / Kuroki, Tamotsu / Sakomoto, Ichiro / Eguchi, Susumu
Issue Date: Aug-2014
Publisher: 日本消化器病学会 / Japanese Society of Gastroenterology
Citation: Clinical Journal of Gastroenterology, 7(4), pp.342-345; 2014
Abstract: Balloon-occluded retrograde transvenous obliteration (BRTO) has become a common and effective procedure for treating hepatic encephalopathy due to a portosystemic shunt related to cirrhosis of the liver. However, this method of treatment has rarely been reported in patients after liver transplantation. Here, we report the case of a 52-year-old patient who underwent living donor liver transplantation (LDLT) due to hepatitis C virus-infected hepatocellular carcinoma that was complicated with portal vein thrombosis and a large portosystemic shunt between the superior mesenteric vein (SMV) and inferior vena cava (IVC). The SMV-IVC shunt was not obliterated during LDLT because there was sufficient portal flow into the graft after reperfusion. However, the patient was postoperatively complicated with encephalopathy due to the portosystemic shunt. BRTO was performed and was demonstrated to have effectively managed the encephalopathy due to the SMV-IVC shunt, while preserving the hepatic function after LDLT.
Keywords: BRTO / Hepatic encephalopathy / Living donor liver transplantation / Portosystemic shunt
URI: http://hdl.handle.net/10069/34773
ISSN: 18657257
DOI: 10.1007/s12328-014-0495-1
Rights: © The Japanese Society of Gastroenterology. All rights reserved. / The final publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/34773

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