title: [Chronic hepatic encephalopathy in cirrhotic patients and spontaneous portacaval anastomosis. Portal angiographic and manometric study].
abstract: Portal angiographic and manometric studies were prospectively carried out in 9 cirrhotic patients with spontaneous chronic portal-systemic encephalopathy. Hepatic encephalopathy presented as coma in 8 patients, and was the first manifestation of chronic liver disease in 6 cases. Hemodynamic studies showed a) a large single spontaneous portacaval anastomosis (gastrorenal, splenorenal, gradient (mean +/- SD = 16.3 +/- 5.4 mm Hg); c) a wedge hepatic venous pressure higher than portal pressure in 8 cases (difference: 1-11 mm Hg).
authors.affiliation: Clinique des Maladies de l'Appareil Digestif, Hôpital Saint-Eloi, Montpellier.
authors.forename: P
authors.initials: P
authors.lastname: Bauret
authors.forename: D
authors.initials: D
authors.lastname: Mirouze
authors.forename: P
authors.initials: P
authors.lastname: Bories
authors.forename: C
authors.initials: C
authors.lastname: Mourrut
authors.forename: J M
authors.initials: JM
authors.lastname: Bruel
authors.forename: H
authors.initials: H
authors.lastname: Michel
mesh_terms: D001795:Blood Pressure Determination; D002908:Chronic Disease; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011168:Portal System / Q000000981:diagnostic imaging / Q000503:physiopathology; D011446:Prospective Studies; D011859:Radiography; D014684:Venae Cavae / Q000503:physiopathology
vernacular_title: Encéphalopathie hépatique chronique du cirrhotique et anastomose porto-cave spontanée. Etude manométrique et angiographique portale.