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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 | Bayesian networks and information retrieval:An introduction to the special issue显示文摘 | de Campos L M Fernandez-Luna J M Huete J F | 2004 | Information Processing and Management2004，40，5： | 1 |
| 3 | Bayesian networks and information retrieval:An introduction to the special issue显示文摘 | Campos L M de Fernández-Luna J M Huete J F | 2004 | Information Processing and Management2004，40，5： | 1 |
| 4 | Influence of knee position on the postural stability index regis- tered by the Biodex Stability System 显示文摘 | PEREIRA H M DE CAMPOS T F SANTOS M B | 2008 | Gait Posture2008，28，4： | 1 |
| 5 | Clustering terms in the Bayesian network retrieval model:A new approach with two term-layers显示文摘 | Campos L M de Fernández-Luna J M Huete J F | 2004 | Applied Soft Computing2004，4，2： | 1 |
| 6 | Clustering terms in the Bayesian network retrieval model:A new approach with two term-layers显示文摘 | de Campos L M Femandez-Luna J M Huete J F | 2004 | Applied Soft Computing2004，4，2： | 1 |
| 7 | The BNR model:Foundations and performance of a Bayesian network-based retrieval model显示文摘 | Campos L M de Fernández-Luna J M Huete J F | 2003 | International Journal of Approximate Reasoning2003，34，1： | 1 |
| 8 | Valuation of tropical forest services and mechanisms to finance their conservation and sustainable use:a case study of TapantíNational Park,Costa Rica显示文摘 | BERNARD F De GROOT R S CAMPOS J J | 2009 | Forest Policy and Economics2009，11，3： | 1 |
| 9 | Modeling the spatial layout of images beyond spatial pyramids 显示文摘 | Sanchez J Permnnin F de Campos T | 2012 | Pattern Recognition Letters2012，33，16： | 1 |
| 10 | Effect of phenolic aldehydes and flavonoids on growth and inactivation of Oenococcus oeni and Lactobacillus hilgardii显示文摘 | Figueiredo A R Campos F de Freitas V | 2008 | Food Microbiology2008，25，1： | 1 |
| 11 | Using context information in structured document retrleval:an approach based on influence diagrams 显示文摘 | de Campos L M Fernandez-Luna J M Huete J F | 2004 | Information Processing and Management2004，40，5： | 1 |
| 12 | Implementing Relevance Feedback in the Bayesian Network Retrieval Model 显示文摘 | de Campos L M Ferna' ndez-Luna J M Huete J F | 2003 | Journal of the American Society for Information Science and Technology:2003，54，4： | 1 |
| 13 | Thoracoscopy talc poudrage:a 15 years experience显示文摘 | De Campos J R Vargas F S DE Campos Werebe E | 2001 | Chest2001，119，3： | 1 |
| 14 | A multi-layered Bayesian network model for structured document retrieval显示文摘 | Crestani F de Campos L M Huete J F | 2003 | Lacture Notes in Computer Science2003，2711，： | 1 |
| 15 | Metallic biomaterials TiN-coated:Corrosion analysis and biocompatibility显示文摘 | PASCHOAL A L VANANCIO E C CANALE L DE CAMPOS F DA SILVA O L HUERTA-VILCA D DE JESUS M A | 2003 | Artif Organs2003，27，： | 1 |
| 16 | Bayesian networks and information retrieval:an introduction to the special issue显示文摘 | de Campos L M Fern'andez-Luna J M Huete J F | 2004 | Information Processing and Management2004，40，： | 1 |
| 17 | Schwannoma of the brachial plexus: an unusual cause for a cervical mass显示文摘 | Guerra M F Campo F R de Artinano F O | 2001 | J Oral Maxillofac Surg2001，59，8： | 1 |
| 18 | Clustering terms in the Bayesian network retrieval model:a new approach with two term-layers显示文摘 | de Campos L M Fern'andez-Luna J M Huete J F | 2004 | Applied Soft Computing2004，，4： | 1 |
| 19 | The BNR model:foundations and performance of a Bayesian network-based retrieval model显示文摘 | de Campos L M Fern'andez-Luna J M Huete J F | 2003 | International Journal of Approximate Reasoning2003，34，： | 1 |
| 20 | Clustering terms in the Bayesian network retrieval model:a new approach with two term-layers显示文摘 | de Campos L M Fernandez-Luna J M Huete J F | 2004 | Applied Soft Computing2004，，4： | 1 |
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