OBLITERATION OF PORTAL SYSTEMIC SHUNTS AS THERAPY FOR HEPATIC-ENCEPHALOPATHY IN PATIENTS WITH NONCIRRHOTIC PORTAL-HYPERTENSION

被引：1

作者：

ITO, T

IKEDA, N

WATANABE, A

SUE, K

KAKIO, T

MIMURA, H

TSUJI, T

机构：

来源：

GASTROENTEROLOGIA JAPONICA | 1992年 / 27卷 / 06期

关键词：

HEPATIC ENCEPHALOPATHY; IDIOPATHIC PORTAL HYPERTENSION; LIVER CIRRHOSIS; PORTAL HYPERTENSION; PORTAL SYSTEMIC SHUNT;

D O I：

暂无

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The effects of obliteration of portal systemic shunts (PSS) in 5 patients with non-cirrhotic hepatic encephalopathy is reported. All patients had a history of disturbance of consciousness for several years, and examinations revealed large PSS, most of which connecting the left gastric vein to the left renal vein. After the obliteration of PSS, portal vein pressure elevated, the shunt ratio of the portal blood flow decreased, the indocyanine green disappearance rate increased, and serum albumin increased. Blood ammonia (NH3) decreased significantly accompanied by disappearance of hepatic encephalopathy. This treatment may open a way to improve the quality of life in patients with large PSS without severe hepatic injury.

引用

页码：759 / 764

页数：6