Endoscopic Ultrasound-Guided Transgastric Shunt Obliteration for Recurrent Hepatic Encephalopathy.
Am J Gastroenterol
; 118(10): 1895-1898, 2023 10 01.
Article
in En
| MEDLINE
| ID: mdl-37589493
ABSTRACT
INTRODUCTION:
Occlusion of spontaneous portosystemic shunts (SPSSs) in patients with cirrhosis may be required in recurrent or refractory hepatic encephalopathy. We describe a novel method for occlusion of SPSS using endoscopic ultrasound (EUS).METHODS:
EUS-guided transgastric shunt obliteration was performed by injecting glue and coils directly into SPSS.RESULTS:
EUS-guided transgastric shunt obliteration was performed for 7 patients in 9 sessions. Complete cessation of Doppler flow was achieved in 6/7 cases. Adequate clinical response was observed in 6/7 patients. No procedure-related severe adverse events were seen.DISCUSSION:
This novel technique is a potentially effective and efficient method for shunt obliteration.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Esophageal and Gastric Varices
/
Hepatic Encephalopathy
Type of study:
Etiology_studies
/
Qualitative_research
Limits:
Humans
Language:
En
Journal:
Am J Gastroenterol
Year:
2023
Document type:
Article