scholarly journals Gastrorenal shunt: a cause of hyperammonemia

2017 ◽  
Vol 6 (1) ◽  
pp. 240-241
Author(s):  
Yuya Nakamura ◽  
Isao Ohsawa ◽  
Yoshikazu Goto ◽  
Hiromichi Gotoh
Keyword(s):  
2002 ◽  
Vol 179 (1) ◽  
pp. 274-275 ◽  
Author(s):  
Akio Matsumoto ◽  
Hisashi Matsumoto ◽  
Hiroaki Yamauchi

Endoscopy ◽  
2019 ◽  
Vol 51 (10) ◽  
pp. 936-940 ◽  
Author(s):  
Mingyan Zhang ◽  
Ping Li ◽  
Haijun Mou ◽  
Yongjun Shi ◽  
Biguang Tuo ◽  
...  

Abstract Background The aim of this study was to evaluate the safety and efficacy of clip-assisted endoscopic cyanoacrylate injection for gastric varices with a gastrorenal shunt. Methods Records were reviewed of patients with gastric varices and concomitant gastrorenal shunts who underwent clip-assisted endoscopic cyanoacrylate injection at three tertiary centers between April 2016 and October 2018. The assessed outcomes were technical success rate, eradication of gastric varices, cyanoacrylate embolization, and all-cause rebleeding. Results A total of 61 patients were analyzed. The procedure was successful in all patients (100 %). Gastric varices were eradicated in 30 of 33 patients (90.9 %) according to contrast-enhanced computed tomography re-examination within 1 month after the procedure. No symptoms or signs of cyanoacrylate embolization related to the procedure were observed. Four patients (6.6 %) were lost to follow-up. All-cause rebleeding occurred in 13/57 patients (22.8 %) during a median follow-up period of 225 days (interquartile range 114 – 507 days). Conclusions Clip-assisted endoscopic cyanoacrylate injection appeared to be a safe procedure that was convenient and efficacious in the treatment of gastric varices with concomitant gastrorenal shunt.


2016 ◽  
Vol 25 (6) ◽  
pp. 337-344 ◽  
Author(s):  
Qiong Wu ◽  
Hua Jiang ◽  
Enqiang Linghu ◽  
Lanjing Zhang ◽  
Weifeng Wang ◽  
...  

1998 ◽  
Vol 93 (2) ◽  
pp. 270-272 ◽  
Author(s):  
Junya Shimono ◽  
Hiroshi Tsuji ◽  
Koichi Azuma ◽  
Mamoru Hashiguchi ◽  
Masatoshi Fujishima

Author(s):  
S. Lowell Kahn

Fundamental to all balloon-occluded retrograde transvenous obliteration procedures is the catheterization of the gastric varix via its drainage through a gastrorenal shunt and its subsequent sclerosis. Although routinely performed with little difficulty in experienced hands, there exist clinical scenarios and anatomic factors that present technical challenges to the procedure. A common challenge is the delivery of the occlusion balloon to the neck of the gastrorenal shunt to allow occlusion. Two main factors affect this: the angulation of the veins relative to one another and the size of the balloon required to achieve occlusion. This chapter describes a technique to facilitate delivery of a sheath to the left renal vein from a femoral approach when the caudal angulation of the left renal vein makes catheterization unfavorable.


Kanzo ◽  
1985 ◽  
Vol 26 (12) ◽  
pp. 1630-1636 ◽  
Author(s):  
Shinichi SATO ◽  
Kunihiko OHNISHI ◽  
Masayuki SAITO ◽  
Hidetaka TERABAYASHI ◽  
Takatsune NAKAYAMA ◽  
...  

2000 ◽  
Vol 17 (4) ◽  
pp. 332-336 ◽  
Author(s):  
Fumio Chikamori ◽  
Nobutoshi Kuniyoshi ◽  
Susumu Shibuya ◽  
Yasuhiro Takase

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