Endoscopic Ultrasound-Guided Transgastric Shunt Obliteration for Recurrent Hepatic Encephalopathy-Reference-Cited by-同舟云学术

Endoscopic Ultrasound-Guided Transgastric Shunt Obliteration for Recurrent Hepatic Encephalopathy

Published:2023-08-17 Issue:10 Volume:118 Page:1895-1898
ISSN:0002-9270
Container-title:American Journal of Gastroenterology
language:en
Short-container-title:Am J Gastroenterol

Author:

Rathi Sahaj¹,Kalantri Amrita²,Shastri Arpit¹^ORCID,Shree Ritu³^ORCID,Mahesh Karthik Vinay³^ORCID,Taneja Sunil¹^ORCID,Chaluvasetty Sreedhara B.⁴^ORCID,Bhujade Harish⁴^ORCID,Verma Nipun¹^ORCID,Premkumar Madhumita¹^ORCID,De Arka¹^ORCID,Kalra Naveen⁴,Singh Virendra¹^ORCID,Duseja Ajay¹

Affiliation:

1. Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

2. Department of Radiology, Government Medical College and Hospital, Chandigarh, India;

3. Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

4. Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

INTRODUCTION: Occlusion of spontaneous portosystemic shunts (SPSSs) in patients with cirrhosis may be required in recurrent or refractory hepatic encephalopathy. We describe a novel method for occlusion of SPSS using endoscopic ultrasound (EUS). METHODS: EUS-guided transgastric shunt obliteration was performed by injecting glue and coils directly into SPSS. RESULTS: EUS-guided transgastric shunt obliteration was performed for 7 patients in 9 sessions. Complete cessation of Doppler flow was achieved in 6/7 cases. Adequate clinical response was observed in 6/7 patients. No procedure-related severe adverse events were seen. DISCUSSION: This novel technique is a potentially effective and efficient method for shunt obliteration.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Gastroenterology,Hepatology

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