Document Detail

Decompressive shunts and hepatic encephalopathy.
MedLine Citation:
PMID:  15025248     Owner:  NLM     Status:  MEDLINE    
Encephalopathy is a major complication of all decompressive procedures done to reduce portal pressure. There are two major groups of decompressive procedures: surgical portosystemic shunts and transjugular intrahepatic portosystemic shunts (TIPS). Surgical decompressive shunts are of three types: total, partial and selective, depending on the amount of hepatopetal flow that is maintained in each of them. Encephalopathy with these shunts occurs because of reduction in hepatopetal flow. These shunts have failed to reduce mortality; in fact, some studies have shown an increase in mortality following shunts. TIPS has more or less replaced the need for surgical shunts, but their risk to cause encephalopathy is almost equivalent to that of selective shunts and in some series is even more. Lactulose, antibiotics and protein restriction can easily control severe encephalopathy as a consequence of decompressive shunts.
A Sachdev; A Duseja
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology     Volume:  22 Suppl 2     ISSN:  0254-8860     ISO Abbreviation:  Indian J Gastroenterol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-03-17     Completed Date:  2004-04-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8409436     Medline TA:  Indian J Gastroenterol     Country:  India    
Other Details:
Languages:  eng     Pagination:  S21-4     Citation Subset:  IM    
Department of Medicine, Government Medical College and Hospital, Chandigarh.
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MeSH Terms
Decompression, Surgical
Hepatic Encephalopathy / etiology*,  prevention & control
Hypertension, Portal / surgery*
Portasystemic Shunt, Transjugular Intrahepatic*
Postoperative Complications / prevention & control

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