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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | One-week dual therapy with ranitidine bismuth citrate and clarithromycin for the treatment of Helicobacter pylori infection in Brazilian patients with peptic ulcer显示文摘AIM: To assess the efficacy and safety of ranitidine bismuth citrate plus clarithromycin given for 1 wk in Brazilian patients with peptic ulcer.METHODS: One hundred and twenty patients with peptic ulcer were randomized in two treatment groups: (1) 1-wk regimen consisting of ranitidine bismuth citrate 400 mg b.i.d. with clarithromycin 500 mg b.i.d. or (2) 2-wk regimen of the same treatment. Eradication of the infection was considered when both the histologic examination and the urease test were negative for the infection 3 mo after treatment.RESULTS: By intention to treat analysis, Helicobacter pylori (H pylori) was eradicated in 73% and 76% of patients, respectively treated for 1 or 2 wk (P>0.05). By per protocol analysis, the eradication rates were 80% and 83%,respectively, in patients treated for 1 or 2 wk (P>0.05). Nine patients (8.2%) reported minor side effects. CONCLUSION: One-week therapy with ranitidine bismuth citrate and clarithromycin is safe, well tolerated and effective for treatment of H pylori infection, andappears to be comparable to the 2-wk regimen in terms of efficacy. | Maria Aparecida Mesquita S(o|^)nia Letícia Silva Lorena Jazon Romilson Souza Almeida Ciro Garcia Montes Fábio Guerrazzi Luciana T Campos José Murilo Rubiota Zeitune | 2005 | World Journal of Gastroenterology2005，11，23： | 1 |
| 3 | Potential virulencefactors of Streptococcus dysgalactiae associated with bovinemastitis显示文摘 | Calvinho L F Almeida R A S P Oliver | 1998 | Vet Microbiol1998，61，： | 1 |
| 4 | Characterization ofN-trimethyl chitosardalginate complexes andcurcumin release显示文摘 | Martins Alessandro F Bueno Pedro V A Almeida Elizangela A M S | 2013 | International Journal of Biological Macromolecules2013，57，： | 1 |
| 5 | Developing ecotechnologies:A possibility to mininuze environmental impact in Southern Brazil显示文摘 | Giannetti B F Bonilla S H Almeida C M V B | 2004 | Journal of Cleaner Production2004，，12： | 1 |
| 6 | Semi-or- thogonal turning of hardmetal with CVD diamond and PCD inserts at different cutting angles 显示文摘 | Almeida F A Fernandes A J S Oliveira F J | 2009 | Vacuum2009，，83： | 1 |
| 7 | ,Inhibition of avian metapneumovirus (AMPV) replication by RNA interference targeting nucleoprotein gene (N) in cultured cells显示文摘 | Ferreira H L Spilki F R Almeida R S | 2007 | Antivir Res2007，74，1： | 1 |
| 8 | Determination of the me-chanical properties of pellets and film coated pelletsusing dynamic mechanical analysis(DMA)显示文摘 | Almeida S M | 2002 | EurJ Pharm Sci2002，16，3： | 1 |
| 9 | Design optimization of composite laminated structures using genetic algorithms anti finite element analysis显示文摘 | ALMEIDA F S AWRUCH A M | 2009 | Composite Structures2009，88，3： | 1 |
| 10 | Porcine circovirus 2 (PCV2) induces a procoagulant state in naturally infected swine and in cultured endothelial cells显示文摘 | Marks F S Reck J Jr Almeida L L | 2009 | Vet Microbiol2009，143，： | 1 |
| 11 | Leaf gas exchange, chlorophyll fluorescence and growth responses of Genipa americana seedlings to soil flooding显示文摘 | Mielke M S Almeida A A F Gomes F P | 2003 | Environmental and Experimental Botany2003，50，： | 1 |
| 12 | Discriminating multispecies populations in biofilms with peptide nucleic acid fluorescence In situ hybridization(PNA FISH)显示文摘 | Almeida C Azevedo N F Santos S | | 0，，03： | 1 |
| 13 | Flavonol monoglycosides isolated from the antiviral fractions of Persea americana (Lauraceae) leaf infusion 显示文摘 | De Almeida A P Miranda M M F S Simoni I C | 1998 | PhytotherRes1998，12，8： | 1 |
| 14 | Biodegradation of acrylic based resins : A review 显示文摘 | Bettencourt Ana F Neves Cristina B de Almeida Marise S | 2010 | Dent Meter2010，26，5： | 1 |
| 15 | Processed lipoaspirate cells for tissue engineering of the lower urinary tract:implications for the treatment of stress urinary incontinence and bladder reconstruction显示文摘 | Jack G S Almeida F G Zhang R | 2005 | J Urol2005，174，5： | 1 |
| 16 | Developing ecotechnologies: a possibility to minimize environmental impact in Southern Brazil 显示文摘 | Giannetti B F Bonilla S H Almeida C M | 2004 | Journal of Cleaner Production2004，12，4： | 1 |
| 17 | Microwave combination heating显示文摘 | Datta A K Geedipalli S S R Almeida M F | 2005 | Food Technology2005，59，1： | 1 |
| 18 | The use of the oxidative stress responses as biomarkers in Nile tilapia (Oreochromis niloticus) exposed to in vivo Cadmium contamination显示文摘 | Almeida J A Diniz Y S Marques S F | 2002 | Environment International2002，27，8： | 1 |
| 19 | Vanadium haloperoxidases from brown algae of the Laminariaceae family显示文摘 | Almeida M Filipe S Humanes M Maia M F Melo R Severino N Da Silva J A L Da Silva J J R F Wever R | 2001 | Phytochemistry2001，57，： | 1 |
| 20 | Use of the piezocone test to predict the axial capacity of driven andjacked piles in clay显示文摘 | Almeida M S S Danziger F A B Lunne T | 1996 | Canadian Geotechnical Journal1996，33，1： | 1 |
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