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Intractable Hepatic Encephalopathy with a Large Portosystemic Shunt Successfully Treated Using Shunt-preserving Disconnection of the Portal and Systemic Circulation


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Title: Intractable Hepatic Encephalopathy with a Large Portosystemic Shunt Successfully Treated Using Shunt-preserving Disconnection of the Portal and Systemic Circulation
Authors: Haraguchi, Masafumi / Hirai, Satoshi / Nakamura, Yutaka / Otsuka, Tetsuhiro / Ishimaru, Hideki / Sasaki, Ryu / Fukushima, Masanori / Miuma, Satoshi / Miyaaki, Hisamitsu / Nakao, Kazuhiko
Issue Date: 15-Apr-2020
Publisher: The Japanese Society of Internal Medicine / 日本内科学会
Citation: Internal Medicine, 59(8), pp.1047-1051; 2020
Abstract: Hepatic encephalopathy (HE) is a significant symptom of decompensated liver cirrhosis. Occlusion of portosystemic shunts is used to treat refractory HE. Nevertheless, these treatments often cause adverse events, such as ascites and esophageal varices. We treated a 57-year-old man with refractory HE using shuntpreserving disconnection of the portal and systemic circulation (SPDPS). After SPDPS, there were no obvious complications, and the patient’s ammonia level significantly decreased. To date, the patient has not experienced recurrent HE. SPDPS appears to be a safe and effective treatment method for portosystemic encephalopathy.
Keywords: shunt-preserving disconnection of the portal and systemic circulation / hepatic encephalopathy / percutaneous transsplenic access
URI: http://hdl.handle.net/10069/39978
ISSN: 09182918
DOI: 10.2169/internalmedicine.3955-19
Rights: © 2020 by The Japanese Society of Internal Medicine. The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/39978

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