Hepatic encephalopathy secondary to porto-systemic shunt satisfactorily treated with interventionist radiology

Hepatic encephalopathy is a reversible state of altered cognition that may occur in patients with acute or chronic liver disease or porto-systemic shunt, and in which known neurological or psychiatric signs may develop. Nitrogenated substances from intestinal digestion reach the brain without being...

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Bibliographic Details
Published inRevista española de enfermedades digestivas Vol. 99; no. 11; pp. 667 - 670
Main Authors Crespo, L, Graus, J, García-Hoz, F, Bárcena, R, Gil Grande, L, Moreira, V F, Milicua, J M, Sánchez, J, Blázquez, J
Format Journal Article
LanguageSpanish
Published Spain 01.11.2007
Subjects
Aged
Embolization, Therapeutic
Female
Hepatic Encephalopathy - etiology
Hepatic Encephalopathy - therapy
Humans
Male
Portasystemic Shunt, Surgical - adverse effects
Radiography, Interventional
Remission Induction
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Summary:Hepatic encephalopathy is a reversible state of altered cognition that may occur in patients with acute or chronic liver disease or porto-systemic shunt, and in which known neurological or psychiatric signs may develop. Nitrogenated substances from intestinal digestion reach the brain without being cleared by their passage through the liver due to the presence of porto-systemic shunt. We report two cases of patients with porto-systemic shunt diagnosed with recurrent chronic hepatic encephalopathy refractory to conventional medical treatment. They were satisfactorily treated with shunt embolization using interventionist radiology techniques.
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ISSN:1130-0108