Portal-Systemic Shunt Procedures for Portal Hypertension. Incidence and Features of Hepatic Encephalopathy1

Author(s):  
V. Ziparo ◽  
G. Balducci ◽  
S. Tremiterra ◽  
S. Stipa
2001 ◽  
Vol 40 (12) ◽  
pp. 1200-1204 ◽  
Author(s):  
Yasushi YAMAGUCHI ◽  
Takashi OKAI ◽  
Hiroyuki WATANABE ◽  
Yoshiharu MOTOO ◽  
Masayoshi MAI ◽  
...  

1984 ◽  
Vol 4 (3) ◽  
pp. 152-157
Author(s):  
Lu En-ci ◽  
Wu Di-qun ◽  
Luo Xue-hong ◽  
Xu Huan-ran ◽  
Cai Run-zhi ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Gary A. Abrams ◽  
Robert Chapman ◽  
Samuel R. W. Horton

We report on a rare case of refractory hepatic hydrothorax in an individual with Scleroderma/CREST syndrome and noncirrhotic portal hypertension. Portal pressure measurements revealed a normal transjugular hepatic venous portal pressure gradient, mild pulmonary hypertension, and an unremarkable liver biopsy except for mild sinusoidal dilation. Pulmonary hypertension, cardiac diastolic dysfunction, and chronic kidney disease were determined to be the causes of his refractory pleural effusions and ascites. Over the year, he underwent 50 thoracenteses and 20 paracenteses averaging 10–12 liters/week. Repeat pulmonary evaluation determined his pulmonary pressures to be normal and a secondary review of the “unremarkable” liver biopsy noted mild venous outflow obstruction and possibly Nodular Regenerative Hyperplasia (NRH). Repeat portal pressures indirectly and directly confirmed the existence of presinusoidal portal hypertension that has been associated with NRH. A transjugular intrahepatic portal systemic shunt (TIPS) was placed and he has not required thoracentesis or paracentesis over the past 18 months.


2000 ◽  
Vol 15 (11) ◽  
pp. 1312-1317 ◽  
Author(s):  
Katsutoshi Tokushige ◽  
Katsumi Yamauchi ◽  
Tatsuji Komatsu ◽  
Ken Takasaki ◽  
Naoaki Hayashi

2001 ◽  
Vol 120 (5) ◽  
pp. A379-A379
Author(s):  
S FIORUCCI ◽  
E ANTONELLI ◽  
O MORELLI ◽  
A MENCARELLI ◽  
B PALAZZETTI ◽  
...  

2001 ◽  
Vol 120 (5) ◽  
pp. A224-A224
Author(s):  
A GUNNARSDOTTIR ◽  
E BJOMSSON ◽  
G RINGSTROM ◽  
M SIMREN ◽  
P STOTZER ◽  
...  

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