Two cases of Inose-type hepatic encephalopathy successfully treated with shunt resection

Mitsuaki Morimoto, Ken Shirabe, Kiyoshi Kajiyama, Norifumi Harimoto, Kenta Motomura, Akihide Masumoto, Takashi Nagaie

研究成果: Contribution to journalArticle査読

抄録

An Inose-type hepatic encephalopathy due to a porto-systemic shunt was successfully treated by resection of the shunt. Patient 1, 71-year-old man with normal liver, was presented with hepatic encephalopathy after the operation of diffuse peritonitis with strangulated ileus. Computed tomography revealed the presence of a large spleno-renal shunt. We ligated and divided the splenorenal shunt during an open surgery. Patient 2 was a 79-year-old man with hepatitis C. Computed tomography showed the large shunt from superior mesenteric vein to inferior vena cava. The shunt resection was performed. Portal thrombosis developed after the operation but anti-coagulant therapy was effective. No evidence of hepatic encephalopathy in this two patients occurred after the operation. For the treatment of porto-systemic shunt resection is available but caution must be exercised for liver cirrhosis, esophageal varix and portal thrombosis.

本文言語英語
ページ(範囲)208-212
ページ数5
ジャーナルActa Hepatologica Japonica
50
4
DOI
出版ステータス出版済み - 2009
外部発表はい

All Science Journal Classification (ASJC) codes

  • 肝臓学

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