1. Endoscopic Ultrasound-Guided Transgastric Shunt Obliteration for Recurrent Hepatic Encephalopathy.
- Author
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Rathi, Sahaj, Kalantri, Amrita, Shastri, Arpit, Shree, Ritu, Mahesh, Karthik Vinay, Taneja, Sunil, Chaluvasetty, Sreedhara B., Bhujade, Harish, Verma, Nipun, Premkumar, Madhumita, De, Arka, Kalra, Naveen, Singh, Virendra, and Duseja, Ajay
- Subjects
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HEPATIC encephalopathy , *ENDOSCOPIC ultrasonography , *GASTRIC varices , *CIRRHOSIS of the liver - 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 transgasric 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. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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