title: [Hepatic encephalopathy secondary to porto-systemic shunt satisfactorily treated with interventionist radiology].
abstract: Hepatic encephalopathy is a reversible state of altered cognition that may occur in patients with acute or chronic liver disease or porto-systemic shunt, and in which known neurological or psychiatric signs may develop. Nitrogenated substances from intestinal digestion reach the brain without being cleared by their passage through the liver due to the presence of porto-systemic shunt. We report two cases of patients with porto-systemic shunt diagnosed with recurrent chronic hepatic encephalopathy refractory to conventional medical treatment. They were satisfactorily treated with shunt embolization using interventionist radiology techniques.
authors.affiliation: Servicios de Gastroenterología, Hospital Universitario Ramón y Cajal, Carretera de Colmenar, Madrid. lcreper@yahoo.es
authors.forename: L
authors.initials: L
authors.lastname: Crespo
authors.forename: J
authors.initials: J
authors.lastname: Graus
authors.forename: F
authors.initials: F
authors.lastname: García-Hoz
authors.forename: R
authors.initials: R
authors.lastname: Bárcena
authors.forename: L
authors.initials: L
authors.lastname: Gil Grande
authors.forename: V F
authors.initials: VF
authors.lastname: Moreira
authors.forename: J M
authors.initials: JM
authors.lastname: Milicua
authors.forename: J
authors.initials: J
authors.lastname: Sánchez
authors.forename: J
authors.initials: J
authors.lastname: Blázquez
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D015641:Radiography, Interventional; D012074:Remission Induction