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Endoscopic Ultrasound-Guided Transgastric Shunt Obliteration for Recurrent Hepatic Encephalopathy.
Rathi, Sahaj; Kalantri, Amrita; Shastri, Arpit; Shree, Ritu; Mahesh, Karthik Vinay; Taneja, Sunil; Chaluvasetty, Sreedhara B; Bhujade, Harish; Verma, Nipun; Premkumar, Madhumita; De, Arka; Kalra, Naveen; Singh, Virendra; Duseja, Ajay.
Afiliação
  • Rathi S; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Kalantri A; Department of Radiology, Government Medical College and Hospital, Chandigarh, India.
  • Shastri A; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Shree R; Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Mahesh KV; Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Taneja S; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Chaluvasetty SB; Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Bhujade H; Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Verma N; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Premkumar M; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • De A; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Kalra N; Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Singh V; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • Duseja A; Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Am J Gastroenterol ; 118(10): 1895-1898, 2023 10 01.
Article em 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Varizes Esofágicas e Gástricas / Encefalopatia Hepática Tipo de estudo: Etiology_studies / Qualitative_research Limite: Humans Idioma: En Revista: Am J Gastroenterol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Índia
Texto completo
Imprimir
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PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Varizes Esofágicas e Gástricas / Encefalopatia Hepática Tipo de estudo: Etiology_studies / Qualitative_research Limite: Humans Idioma: En Revista: Am J Gastroenterol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Índia