Encephalopathy surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical options are very limited in cases of encephalopathy. | 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]].<ref name="pmid19933667">{{cite journal |author=Fanelli F, Salvatori FM, Rabuffi P, ''et al.'' |title=Management of refractory hepatic encephalopathy after insertion of TIPS: long-term results of shunt reduction with hourglass-shaped balloon-expandable stent-graft |journal=AJR Am J Roentgenol |volume=193 |issue=6 |pages=1696–702 |year=2009 |month=December |pmid=19933667 |doi=10.2214/AJR.09.2968 |url=}}</ref> | ||
==Surgery== | ==Surgery== | ||
* | * Surgical options for the treatment of encephalopathy are limited. | ||
* Shunt reduction with an hourglass-shaped ePTFE balloon | * Shunt reduction with an hourglass-shaped polytetrafluoroethylene (ePTFE) balloon graft seems effective in reducing shunt flow and rapidly improving the patient's clinical condition.<ref name="pmid19933667">{{cite journal |author=Fanelli F, Salvatori FM, Rabuffi P, ''et al.'' |title=Management of refractory hepatic encephalopathy after insertion of TIPS: long-term results of shunt reduction with hourglass-shaped balloon-expandable stent-graft |journal=AJR Am J Roentgenol |volume=193 |issue=6 |pages=1696–702 |year=2009 |month=December |pmid=19933667 |doi=10.2214/AJR.09.2968 |url=}}</ref> | ||
** This technique has a poor outcome on follow up. | |||
==References== | ==References== | ||
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Latest revision as of 19:55, 24 July 2012
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Encephalopathy |
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Diagnosis |
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Treatment |
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Encephalopathy surgery On the Web |
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American Roentgen Ray Society Images of Encephalopathy surgery |
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Risk calculators and risk factors for Encephalopathy surgery |
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
- ↑ 1.0 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)