Hepatic encephalopathy following transjugular intrahepatic portosystemic shunt (TIPS): Management with l-ornithine-l-aspartate and stent reduction

被引：0

作者：

Vanessa Stadlbauer

Josef Tauss

Horst R. Portugaller

Philipp Stiegler

Florian Iberer

Rudolf E. Stauber

机构：

[1] Medical University of Graz,Department of Internal Medicine, Division of Gastroenterology and Hepatology

[2] Medical University of Graz,Department of Radiology, Division of Interventional Radiology

[3] Medical University of Graz,Department of Surgery, Division of Transplantation Surgery

[4] University College London,Department of Medicine, Liver Failure Group, UCL Institute of Hepatology

来源：

Metabolic Brain Disease | 2007年 / 22卷

关键词：

Hepatic encephalopathy; Venous ammonia levels; Transjugular intrahepatic portosystemic shunt; -ornithine-; -aspartate; Stent reduction;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Hepatic encephalopathy (HE) is a common problem after insertion of a trans-jugular intrahepatic portosystemic shunt (TIPS), which may be difficult to manage. We present a case of severe post-TIPS HE unresponsive to high doses of l-ornithine-l-aspartate (LOLA) despite reduction of venous ammonia levels in a dose-dependent fashion. Ultimately, high-grade HE was successfully treated by a reduction stent and the patient subsequently underwent successful liver transplantation.

引用

页码：45 / 50

页数：5

共 50 条

[21] Unique Method of Transjugular Intrahepatic Portosystemic Shunt Reduction for Refractory Hepatic Encephalopathy
Khan, Ayub
Bailey, Christopher W.
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (10)
[22] Predictors of mortality, rebleeding and hepatic encephalopathy following transjugular intrahepatic portosystemic shunt (TIPS) for variceal hemorrhage.
Chang, WY
Chung, YH
Yang, SH
Song, BC
Yoon, HK
Sung, KB
Lee, YS
Suh, DJ
HEPATOLOGY, 1999, 30 (04) : 575A - 575A
[23] Efficacy of L-ornithine-L-aspartate as an Adjuvant Therapy in Cirrhotic Patients with Hepatic Encephalopathy
Abid, Shahab
Jafri, Wasim
Mumtaz, Khalid
Islam, Muhammad
Abbas, Zaigham
Shah, Hasnain Ali
Hamid, Saeed
JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN, 2011, 21 (11): : 666 - 671
[24] THERAPEUTIC EFFICACY OF L-ORNITHINE-L-ASPARTATE INFUSIONS IN PATIENTS WITH CIRRHOSIS AND HEPATIC ENCEPHALOPATHY
Oruc, N.
Ozturk, A.
Onal, I. K.
Unal, N. G.
Akdogan, M.
Yurdaydin, C.
Karasu, Z.
Ozutemiz, O.
JOURNAL OF HEPATOLOGY, 2010, 52 : S78 - S79
[25] Effects of different stent configurations on shunt failure and hepatic encephalopathy after transjugular intrahepatic portosystemic shunt
李伟之
China Medical Abstracts (Internal Medicine), 2018, 35 (01) : 42 - 43
[26] Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation
Trivedi, Surbhi
Lam, Katie
Ganesh, Ashwin
Hasnain, Yasir
Hassan, Wassim
Herren, Josi
Gaba, Ron C.
SEMINARS IN INTERVENTIONAL RADIOLOGY, 2023, 40 (01) : 9 - 14
[27] STENT STENOSIS AFTER TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC STENT-SHUNT (TIPS)
SAUER, P
STIEHL, A
HERRMANN, S
RICHTER, G
ROEREN, T
THEILMANN, L
HEPATOLOGY, 1994, 20 (04) : A108 - A108
[28] The use of transjugular intrahepatic portosystemic stent shunt (TIPS) in the management of portal hypertensive bleeding
Lo, Gin-Ho
JOURNAL OF THE CHINESE MEDICAL ASSOCIATION, 2014, 77 (08) : 395 - 402
[29] Transjugular intrahepatic portosystemic stent shunt (TIPSS) modification in the management of post-TIPSS refractory hepatic encephalopathy
Kochar, N.
Tripathi, D.
Ireland, H.
Redhead, D. N.
Hayes, P. C.
GUT, 2006, 55 (11) : 1617 - 1623
[30] Management of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-associated Refractory Hepatic Encephalopathy by Shunt Reduction Using the Parallel Technique: Outcomes of a Retrospective Case Series
Cookson, Daniel T.
Zaman, Zubayr
Gordon-Smith, James
Ireland, Hamish M.
Hayes, Peter C.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2011, 34 (01) : 92 - 99

← 1 2 3 4 5 →