OBJECTIVE Balloon-occluded retrograde transvenous obliteration (B-RTO) has recently been introduced as a new interventional modality to prevent fatal bleeding from solitary gastric varices. A large portal-systemic shunt including gastric varices also causes severe encephalopathy in some cirrhotic patients. In this study, we evaluated the effect of B-RTO as a candidate therapeutic method to trea...

AS. Portal hypertension from nodular regenerative hyperplasia of the liver treated with distal splenorenal shunt. JSCR 2012 7:2 This paper was published with an error in the title. The title should read: " Portal hypertension from nodular regenerative hyperplasia of the liver treated with distal splenorenal shunt ". The editors would like to apologise for this error and any inconvenience it has...

A portosystemic shunt is an erroneous venous communication between the portal vein and the systemic circulation. Surgery is the treatment of choice. Progressive attenuation of the shunt is indicated in most cases to prevent portal hypertension. Gauged attenuation using silk was the first method used. Different methods are used to estimate the degree of closure that can be tolerated by the patie...

A 3-month-old boy, first child of unrelated parents, born by emergency Caesarean section at the thirty-first week of pregnancy because of heart failure and fetal hydrops, prenatal screening of mitral valve dysplasia and ostium secundum type atrial septal defect, was admitted to the Gastroenterology Hepatology and Nutrition Unit of the hospital for high blood ammonia levels [159 micrograms/decil...

A switch to decompressive shunt procedures is mandatory if endoscopic therapy fails to control recurrent variceal hemorrhage. Surgical shunt procedures continue to be safe, highly effective and durable procedures to control variceal bleeding in patients with low operative risk and good liver function (Child A). In cirrhotics, elective operations using portal flow preserving techniques such as a...

BACKGROUND A transjugular intrahepatic portosystemic shunt (TIPS) is the creation of a percutaneous portosystemic anastomosis which is used as an alternative method of surgical portosystemic shunts and endoscopic treatment in the therapy of complications of portal hypertension. The objective of the present work was to summarize experience with TIPS in 100 patients. METHODS AND RESULTS In 1992...

The meso-Rex shunt is used to safely and effectively treat patients with portal hypertension due to extrahepatic portal vein obstruction. In the standard meso-Rex shunt technique, the patient's own internal jugular vein is used as a vascular autograft. Inevitably, such a procedure requires neck exploration and sacrifice of the internal jugular vein. Here, we present a case of a 20-year-old man ...

A 19-year-old gentleman presented with slowly progressive spastic paraparesis, 2 years after the therapeutic lienorenal shunt for portal hypertension secondary to cirrhosis and portal vein occlusion. After 2 years of initial evaluation, the motor functions had not worsened further. He did not have any obvious clinical or EEG features of hepatic encephalopathy. Other causes for myelopathy were r...

A 64-year-old woman treated for anemia and ascites exhibited hepatic encephalopathy. Abdominal ultrasonography and computed tomography (CT) showed communication between the portal vein and the middle hepatic vein, indicating an intrahepatic portosystemic venous shunt (PSS). Since hepatic encephalopathy of the patient was resistant to medical treatment, interventional radiology was performed for...

The incidence of portal vein thrombosis was examined in 885 patients who received orthotopic liver transplantations for various end-stage liver diseases between 1989 and 1990. The thrombosis was classified into four grades. Grade 1 was thrombosis of intrahepatic portal vein branches, grade 2 was thrombosis of the right or left portal branch or at the bifurcation, grade 3 was partial obstruction...