Encephalopathy surgery

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Encephalopathy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Overview

Surgical options are very limited in cases of encephalopathy. However, there are a few studies which have tried some surgical techniques to improve the outcome of hepatic encephalopathy.[1]

Surgery

  • Surgical options for the treatment of encephalopathy are limited.
  • Shunt reduction with an hourglass-shaped polytetrafluoroethylene (ePTFE) balloon graft seems effective in reducing shunt flow and rapidly improving the patient's clinical condition.[1]
    • This technique has a poor outcome on follow up.

References

  1. 1.0 1.1 Fanelli F, Salvatori FM, Rabuffi P; et al. (2009). "Management of refractory hepatic encephalopathy after insertion of TIPS: long-term results of shunt reduction with hourglass-shaped balloon-expandable stent-graft". AJR Am J Roentgenol. 193 (6): 1696–702. doi:10.2214/AJR.09.2968. PMID 19933667. Unknown parameter |month= ignored (help)

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