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Revista Española de Enfermedades Digestivas
versão impressa ISSN 1130-0108
Resumo
CRESPO, L. et al. Hepatic encephalophaty secondary to porto-systemic shunt satisfactorily treated with interventionist radiology. Rev. esp. enferm. dig. [online]. 2007, vol.99, n.11, pp.667-670. ISSN 1130-0108.
Hepatic encephalopathy is a reversible state of altered cognition that may occur in patients with acute or chronic liver disease or porto-systemic shunt, and in which known neurological or psychiatric signs may develop. Nitrogenated substances from intestinal digestion reach the brain without being cleared by their passage through the liver due to the presence of porto-systemic shunt. We report two cases of patients with porto-systemic shunt diagnosed with recurrent chronic hepatic encephalopathy refractory to conventional medical treatment. They were satisfactorily treated with shunt embolization using interventionist radiology techniques.
Palavras-chave : Hepatic encephalopathy; Porto-systemic shunt; Embolization.