[Evaluation of hepatic encephalopathy in portacaval shunts and mesenterico-caval bypass with the jugular vein].
Data relating to 30 patients subjected to side-to-side porta-cava anastomosis and 30 to mesenterico-cava by-pass with the internal jugular vein are presented. At follow-up after a period of over 1 yr, encephalopathy was observed in 40% and 21% of the two groups respectively. Angiography of the coeliac tripod and superior mesenteric showed the existence of a post-operative hepatopetal flow in 80% of porta-cava cases. This incidence was only 30% in the mesenterico-cava group. The relation between the clinical and angiographic data is briefly discussed and neuropsychiatric findings in patients with a picture of hepatic encephalopathy are also presented.
D001927:Brain Diseases / Q000209:etiology*; D003702:Delusions / Q000209:etiology; D005500:Follow-Up Studies; D006212:Hallucinations / Q000209:etiology; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D007601:Jugular Veins / Q000637:transplantation*; D008102:Liver Circulation; D008107:Liver Diseases / Q000150:complications; D008569:Memory Disorders / Q000209:etiology; D008642:Mesenteric Veins / Q000601:surgery*; D011167:Portacaval Shunt, Surgical / Q000009:adverse effects*; D011183:Postoperative Complications; D014182:Transplantation, Autologous; D014684:Venae Cavae / Q000601:surgery*
Valutazione dell'encefalopatia epatica nello shunt porta-cava e nel by-pass mesenterico-cava con vena giugulare