High prevalence of spontaneous portal-systemic shunts in persistent hepatic encephalopathy: A case-control study

Hepatology

Volumn 42, Issue 5, 2005, Pages 1158-1165

  Riggio, Oliviero ^a   Efrati, Cesare ^a   Catalano, Carlo ^a   Pediconi, Federica ^a   Mecarelli, Oriano ^a   Accornero, Neri ^a   Nicolao, Francesca ^a   Angeloni, Stefania ^a   Masini, Andrea ^a   Ridola, Lorenzo ^a   Attili, Adolfo F ^a   Merli, Manuela ^a  

^a SAPIENZA UNIVERSITY OF ROME   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

AMMONIA;

ADULT; AGED; ARTICLE; ASCITES; CHRONICITY; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTROENCEPHALOGRAM; FEMALE; HEPATIC ENCEPHALOPATHY; HUMAN; LIVER CIRRHOSIS; LIVER FAILURE; MALE; MENTAL HEALTH; MULTIDETECTOR COMPUTED TOMOGRAPHY; NEUROLOGIC EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; PORTOSYSTEMIC ANASTOMOSIS; PRIORITY JOURNAL;

AGED; CASE-CONTROL STUDIES; ELECTROENCEPHALOGRAPHY; ESOPHAGEAL AND GASTRIC VARICES; FEMALE; HEPATIC ENCEPHALOPATHY; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; IMAGING, THREE-DIMENSIONAL; LIVER CIRRHOSIS; MALE; MIDDLE AGED; PORTAL SYSTEM; PORTAL VEIN; RECURRENCE; TOMOGRAPHY, SPIRAL COMPUTED;

EID: 30944469899     PISSN: 02709139     EISSN: None     Source Type: Journal    
DOI: 10.1002/hep.20905     Document Type: Article

References (34)

1. Watanabe A. Portal-systemic encephalopathy in non-cirrhotic patients: classification of clinical types, diagnosis and treatment. J Gastroenterol Hepatol 2000;15:969-979.
2. Crespin J, Nemcek A, Rehkemper G, Blei AT. Intrahepatic portal-hepatic venous anastomosis: a portal-systemic shunt with neurological repercussions. Am J Gastroenterol 2000;95:1568-1571 [Review].
3. Klempnaue J, Schrem H. Review: surgical shunts and encephalopathy. Metab Brain Dis 2001;16:21-28.
4. Hanna SS, Smith RB, Henderson JM, Millikan WJ. Reversal of hepatic encephalopathy after occlusion of total portosystemic shunts. Am J Surg 1981;142:285-289.
5. Sanjal AJ, Freedman A, Shiffman ML, Purdum PP, Luketic VA, Cheatham AK. Portosystemic encephalopathy after transjugular intrahepatic portosystemic shunt: results of a prospective controlled study. HEPATOLOGY 1994;20:46-55.
6. Somberg KA, Riegler JL, LaBerge JM, Doherty-Simor MM, Bachetti P, Roberts JP, et al. Hepatic encephalopathy after transjugular intrahepatic portosystemic shunt: incidence and risk factors. Am J Gastroenterol 1995; 90:549-555.
7. Riggio O, Merli M, Pedretti R, Meddi P, Lionetti R, Rossi P, et al. Hepatic encephalopathy after transjugular intrahepatic portosystemic shunt. Incidence and risk factors. Dig Dis Sci 1996;41:578-584.
8. Sarfeh IJ, Rypins EB. Partial versus total portacaval shunt in alcoholic cirrhosis: results of a prospective, randomized clinical trial. Ann Surg 1994; 219:353-361.
9. Riggio O, Masini A, Efrati C, Merli M. TIPS: Refractory ascites end hepatic encephalopathy. In: Rossi P. Ricci P Broglia L, eds. Portal Hypertension. Berlin: Springer-Verlag, 2000:297-304.
10. Riggio O, Nicolao F, Angeloni S, Masini A, Salvatori F, Fanelli F, et al. Intractable hepatic encephalopathy after TIPS with polytetrafluoroethylene- covered stem-graft. Scan J Gastroenterol 2002;37:249-252.
11. Ferenci P, Lockwood A, Mullen K, Tarter R, Weissenborn K, Blei AT. Hepatic encephalopathy: definition, nomenclature, diagnosis, and quantification: final report of the working party at the 11th World Congresses of Gastroenterology, Vienna, 1998. HEPATOLOGY 2002;35:716-721.
12. Takashi M, Igarashi M, Hino S, Takayasu K, Goto N, Musha H, et al. Portal hemodynamics in chronic portal-systemic encephalopathy. Angiographic study in seven cases. J Hepatol 1985;1:467-476.
13. Ohnishi K, Sato S, Saito M, Terabayashi H, Nakayama T, Chin N, et al. Clinical and portal hemodynamic features in cirrhotic patients having a large spontaneous spleno-renal and/or gastro-renal shunt. Am J Gastroenterol 1986;81:450-455.
14. Carrion JA, Bellot P, Colmenero J, Garcia Pagan JC. Large spontaneous splenorenal shunt as a cause of chronic hepatic encephalopathy [Images]. J Hepatol 2004;40:868.
15. Sakurabajashi S, Sezai S, Yamamoto Y, Hirano M, Hiroshi O. Embolization of portal-systemic shunts in cirrhotic patients with chronic-recurrent hepatic encephalopathy. Cardiovasc Intervent Radiol 1997;20:120-124.
16. Kato T, Uematsu T, Nishigaki Y, Sugihara J, Tomita E, Moriwaki H. Therapeutic effect of balloon-occluded retrograde transvenous obliteration on portal-systemic encephalopathy in patients with liver cirrhosis. Int Med 2001;40:677-678.
17. Uflacker R, Silva Ade O, D'Albuquerque LA, Piske RL, Mourao GS. Chronic portosystemic encephalopathy: embolization of portosystemic shunts. Radiology 1987;165:721-725.
18. Cordoba J, Olive G, Alonso J, Rovira A, Segarra A, Perez M, et al. Improvement of magnetic resonance spectroscopic abnormalities but not pallidal hyperintensity followed amelioration of hepatic encephalopathy after occlusion of a large spleno-renal shunt. J Hepatol. 2001;34:176-178.
19. Kamath PS, Wiesner RH, Malinchoc M, Kremers W, Therneau TM, Kosberg CL. A model to predict survival in patients with end-stage liver disease. HEPATOLOGY 2001;33:464-470.
20. Nicolao F, Efrati C, Masini A, Merli M, Attili AF, Riggio O. Role of determination of partial pressure of ammonia in cirrhotic patients with and without hepatic encephalopathy. J Hepatol 2003;38:441-446.
21. Amodio P, Wenin H, Del Piccolo F, Mapelli D, Montagnese S, Pellegrini A, et al. Variability of trail making test, symbol digit test and line trait test in normal people: a normative study taking into account age-dependent decline and sociobiological variables. Aging Clin Exp Res 2002;14:117-131.
22. Amodio P, Marchetti P, Del Piccolo F, de Tourtchaninoff M, Zuliani C, Gatta A, et al. Spectral versus visual EEG analysis in mild hepatic encephalopathy. Clin Neurophysiol 1999;110:1334-1344.
23. Napoli A, Catalano C, Silecchia G, Fabiano P, Fraioli F, Pediconi F, et al. Laparoscopic splenectomy: multi-detector row CT for preoperative evaluation. Radiology 2004;232:361-367.
24. Sherlock S, Summerskill WHJ, White LP, Phear EA. Portal systemic encephalopathy. Lancet 1954;4:453-457.
25. Park JH, Cha SH, Han JK. Intrahepatic portosystemic venous shunt. Am J Roentgenol 1990;155:527-528.
26. Ortiz M, Cordoba J, Alonso J, Rovira A, Quiroga S, Jacas C, et al. Oral glutamine challenge and magnetic resonance spectroscopy in three patients with congenital portosystemic shunt. J Hepatol 2004;40:552-557.
27. Smith Laing G, Camilo ME, Dick R, Sherlock S. Percutaneous transhepatic portography in the assessment of portal hypertension: clinical correlation and comparison of radiographic techniques. Gastroenterology 1980; 78:197-205.
28. Quian C, Zhen L, Su-Ming Z, Dao-yu H, Ming X. Relationship between encephalopathy and portal vein-vena cava shunt: value of computed tomography during arterial portography. World J Gastroenterol 2004;10: 1939-1942.
29. Del Piccolo F, Sacerdoti D, Amodio P, Bombonato G, Bolognesi M, Mapelli D, et al. Central nervous system alterations in liver cirrhosis: the role of portal-systemic shunt and portal hypoperfusion. Metab Brain Dis 2002;17:347-358.
30. Takashi M, Igarashi M, Hino S, Takayasu K, Goto N, Musha H, et al. Portal hemodynamics in chronic portal-systemic encephalopathy. J Hepatol 1985;1:467-476.
31. 1H magnetic resonance in the study of hepatic encephalopathy in humans. Metab Brain Dis 2002;17: 415-429.
32. Nolte W, Wiltfang J, Schindler CG, Unterberg K, Finkenstaedt M, Niedmann PD. Bright basal ganglia in T1-weighted magnetic resonance images are frequent in patients with portal vein thrombosis without liver cirrhosis and not suggestive of hepatic encephalopathy. J Hepatol 1998;29:443-449.
33. Rose C, Butterworth RF, Zayed J, Normandin L, Todd K, Michalak A. Manganese deposition in basal ganglia structures results from both portal-systemic shunting and liver dysfunction. Gastroenterology 1999;117:640-644.
34. Cordoba J, Olive G, Alonso J, Rovira A, Segarra A, Perez M, et al. Improvement of magnetic resonance spectroscopic abnormalities but not pallidal hyperimensity followed amelioration of hepatic encephalopathy after occlusion of a large spleno-renal shunt. J Hepatol 2001;34:176-178.