[Anastomotic coarctation in the treatment of serious encephalopathy following splenosystemic shunt].
In this study, 11 cases of serious encephalopathy following splenorenal or splenocaval shunt were treated by anastomotic coarctation, in 4 of the 11 cases, portoazygos disconnection was added. All symptoms and signs disappeared soon after the procedure. The portal hepatopetal blood flow increased. Liver function improved. Blood ammonia concentration decreased. Follow-up of 6 to 48 months found, no recurrent encephalopathy or variceal bleeding. Anastomotic coarctation is effective method to treat serious post-splenosystemic shunt encephalopathy.
Xue
H Z
HZ
Henan Provincial People's Hospital, Zhengzhou.
Lu
Z X
ZX
Jiang
Q F
QF
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013162:Splenic Vein / Q000601:surgery*; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects*