Tratamiento de la encefalopat铆a hep谩tica resistente asociada a la creaci贸n de una derivaci贸n percut谩nea portosist茅mica intrahep谩tica mediante nuevas t茅cnicas endovasculares: a prop贸sito de un caso cl铆nico
- 作者：Belé ; n Martí ; nez Morenoa ; Pablo Bellota ; b ; bellot_pab@gva.es ; Francisco de Españ ; ac ; José ; Marí ; a Palazó ; na ; José ; Sucha ; b ; Miguel Pé ; rez-Mateoa
- 关键词：Encefalopatí ; a hepá ; tica resistente ; Derivació ; n portosisté ; mica percutá ; nea intrahepá ; tica ; Hipertensió ; n portal ; Cirrosis ; Reducció ; n calibre TIPS
- 刊名：Gastroenterolog铆a y Hepatolog铆a
- 出版年：2011
- 期刊代码：pca167_02105705
- 类别：med
- 出版时间：August-September 2011
- 卷：34
- 期：7
- 页码：468-473
- 文件大小：556 K
摘要
Insertion of a transjugular intrahepatic portosystemic shunt (TIPS) is an increasingly used treatment in the management of the complications of portal hypertension. However, one of the complications of this technique is refractory or recurrent hepatic encephalopathy, which poses a difficult clinical problem. We report the case of a patient who underwent TIPS insertion to control bleeding due to esophageal varices. The patient subsequently developed refractory hepatic encephalopathy, requiring reduction of the caliber of the shunt.