TITLE

Hepatic Encephalopathy Associated with Extensive Portal-- Hepatic Venous Shunts: A Case Report

AUTHOR(S)
Ohnishi, Kunihiko; Saito, Masayuki; Saito, Masaaki; Terabayashi, Hidetaka; Okuda, Kunio
PUB. DATE
January 1985
SOURCE
American Journal of Gastroenterology;Jan1985, Vol. 80 Issue 1, p60
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Extensive intrahepatic portal-hepatic venous anastomosis is very rare. This report describes a 47-year-old man with cirrhosis who presented with mental confusion and flapping tremor, and in whom percutaneous trans-hepatic portography and superior mesenteric angiography demonstrated shunting between the portal vein branches and the right hepatic vein. Measurements of pressure, ammonia, and immunoreactive insulin in blood of the portal and right hepatic veins clearly indicated that a large amount of portal vein blood was being shunted into the right hepatic vein. These findings suggest that hepatic encephalopathy in this patient is accounted for at least in part by an intrahepatic portal-hepatic venous shunting.
ACCESSION #
16266334

 

Related Articles

  • Congenital extrahepatic portosystemic shunts. Murray, Conor P.; Shi-Joon Yoo; Babyn, Paul S. // Pediatric Radiology;Sep2003, Vol. 33 Issue 9, p614 

    Background. A congenital extrahepatic portosystemic shunt (CEPS) is uncommon. A type 1 CEPS exists where there is absence of intrahepatic portal venous supply and a type 2 CEPS where this supply is preserved. The diagnosis of congenital portosystemic shunt is important because it may cause...

  • Possible Response of Acute Psychosis in Hepatic Encephalopathy to Levodopa. Douer, Dan; Weinberger, Abraham; Naftalin, Julius; Pinkhas, Jack; De Vries, Andre // American Journal of Gastroenterology;Nov1976, Vol. 66 Issue 5, p473 

    A favorable response to levodopa in two episodes of hepatic encephalopathy, the latter presenting as acute psychosis, is described in a patient with Budd-Chiari syndrome.

  • ROLE OF N-ACETYLCYSTIENE IN ACUTE HEPATIC FAILURE. Alvi, Haris; Talib, Abu; Khan, Fazal Wahab // Medical Channel;Jan2012, Vol. 18 Issue 1, p37 

    Introduction: Acute liver failure (ALF) may be fulminant. Fulminant hepatic failure is characterized by the development of hepatic encephalopathy within 8 weeks after the onset of acute liver disease. Coagulopathy is invariably present. A thiol-containing agent, Nacetylcysteine (NAC) scavenges...

  • Hepatic Encephalopathy. Butterworth, Roger F. // Alcohol Research & Health;2003, Vol. 27 Issue 3, p240 

    Hepatic encephalopathy (HE) is a brain disorder caused by chronic liver failure, particularly in alcoholics with cirrhosis, which results in cognitive, psychiatric, and motor impairments. In these patients, the number of functional liver cells is reduced, and some blood is diverted around the...

  • Reversal of transjugular intrahepatic portosystemic shunt (TIPS)-induced hepatic encephalopathy using a strictured self-expanding covered stent. Cox, Mitchell W.; Soltes, George D.; Lin, Peter H.; Bush, Ruth L.; Lumsden, Alan B. // CardioVascular & Interventional Radiology;Nov2003, Vol. 26 Issue 6, p539 

    Hepatic encephalopathy is a known complication following percutaneous transjugular intrahepatic portosystemic shunt (TIPS) placement. We describe herein a simple and effective strategy of TIPS revision by creating an intraluminal stricture within a self-expanding covered stent, which is deployed...

  • Outcome of 100 Patients after Transjugular Intrahepatic Portosystemic Shunt for Variceal Hemorrhage. Sahagun, Geronimo; Benner, Kent G.; Saxon, Richard; Barton, Robert E.; Rabkin, John; Keller, Frederick S.; Rosch, Josef // American Journal of Gastroenterology;Sep1997, Vol. 92 Issue 9, p1444 

    Objectives: One hundred consecutive patients with recurrent or refractory acute variceal hemorrhage treated with a transjugular intrahepatic portosystemic shunt (TIPS) from June 1990 to June 1993 at Oregon Health Sciences University or the Portland Veterans Affairs Medical Center were evaluated...

  • SHUNTS: Interposition Mesocaval Shunt. CAMERON, JOHN L.; SANDONE, CORINNE // Atlas of Gastrointestinal Surgery - Volume 1;2007, p191 

    Information on interposition mesocaval shunt from a chapter of the book "Atlas of Gastrointestinal Surgery," Volume One, Second Edition, is presented. The introduction of transjugular intrahepatic portasystemic shunt (TIPS) has eliminated the need for emergency portasystemic shunting in patients...

  • Predictors of Clinical Response to Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Cirrhotic Patients With Refractory Ascites. Deschênes, Marc; Dufresne, Michel-Pierre; Bui, Bao; Fenyves, Daphna; Spahr, Laurent; Roy, Louise; Lafortune, Michel; Pomier-Layrargues, Gilles // American Journal of Gastroenterology;May1999, Vol. 94 Issue 5, p1361 

    OBJECTIVE: Transjugular intrahepatic portosystemic shunt (TIPS) is used increasingly its a treatment for refractory ascites. The aim of the present study was to determine the prognostic value of different panuneters in predicting a favorable evolution following TIPS in a cohort of 53 cirrhotic...

  • Natural History of Minimal Hepatic Encephalopathy in Patients With Extrahepatic Portal Vein Obstruction. Sharma, Praveen; Sharma, Barjesh Chander; Puri, Vinod; Sarin, Shiv Kumar // American Journal of Gastroenterology;Apr2009, Vol. 104 Issue 4, p885 

    OBJECTIVES:Minimal hepatic encephalopathy (MHE) leads to deterioration in patient quality of life and could be a marker for future episodes of clinical hepatic encephalopathy (HE) in liver cirrhosis. Whether MHE predicts HE in extrahepatic portal vein obstruction (EHPVO) is not known. We studied...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics