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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 | Photochemical responses and oxidative stress in the clones of Coffea canephora under water deficit conditions显示文摘 | Lima A L S DaMatta F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，23： | 1 |
| 3 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | LIMA A L S DAMATT F M PINHEIRO H A | 2002 | Environmental and Experimental Botany2002，47，： | 1 |
| 4 | The epitaxial growth of Pd electrodeposition on Au(100) studied by LEED and RHEED 显示文摘 | Pinheiro A L N Zei M S Luo M F | 2006 | Surface Science2006，600，： | 1 |
| 5 | 限饲和再投喂对不同日龄鸡消化酶促反应的影响显示文摘试验旨在评价限饲和再投喂对两个不同日龄(7和35d)鸡酶活性和胃肠道器官重量的影响,在每种日龄下,鸡被限饲70%(30%自由采食)7d,然后自由采食3d。对照组自由采食10d。对胰腺中糜蛋白酶、胰蛋白酶、淀粉酶、脂肪酶活性和小肠中蔗糖酶、麦芽糖酶的活性进行分析,并且测量了腺胃、肌胃、小肠和大肠的重量。在14d,与对照组相比,限饲组的胰蛋白酶、淀粉酶活性均降低,但在42d,与对照组相比,限饲组蔗糖酶活性降低,表明限饲对酶活性的影响与日龄有关。限饲可以降低完成期(42d)各器官的重量。日龄35~42d的鸡,在再投喂后,器官重量增加,并且达到与对照组一致。在起始期(14d),腺胃和肌胃受限饲的影响很小,在完成期,肌胃也是受影响最小的器官,而小肠时受影响最严重。限饲的所有影响在恢复饲喂3d后被逆转,表明这种改变时快速且可逆的,并且限饲和再投喂与年龄有关。 | Cristiane R A Duarte Maria L M Vicentini P Pinheiro D F | 2014 | 饲料博览2014，0，10： | 1 |
| 6 | Analysis of the molecular evolutionary history of the ascorbate peroxidase gene family: inferences from the rice genome显示文摘 | Teixeira F Benavente L Margis R Pinheiro M | 2004 | Journal of Molecular Evolution2004，59，6： | 1 |
| 7 | Highly sensitive C-reactive protein and male gender are independently related to the severity of coronary disease in patients with metabolic syndrome and an acute coronary event显示文摘 | Monteiro C M Pinheiro L F Izar M C | 2010 | Braz J Med Biol Res2010，43，3： | 1 |
| 8 | Sodiumnitrite downregulates vascular NADPH oxidase and exerts antihyperten-sive effects in hypertension显示文摘 | MONTENEGRO M F AMARAL J H PINHEIRO L C | 2011 | Free Radical Biology and Medicine2011，51，1： | 1 |
| 9 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | Lima A L S DaMatta F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，3： | 1 |
| 10 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | Lima A L S DaMatta F M Pinheiro H A | 2002 | Environmental and Experi- mental Botany2002，47，3： | 1 |
| 11 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | DAMATTA F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，： | 1 |
| 12 | Aggregate distribution and soil organic matter under different till- age systems for vegetable crops in a red latosol from Brazil显示文摘 | Pinheiro E F M Pereira M G Anjos L H C | 2004 | Soil and Tillage Research2004，77，1： | 1 |
| 13 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | LIMA A L S DA MATTA F M PINHEIRO H A | 2002 | Environmental and Experimental Botany2002，47，3： | 1 |
| 14 | Soft and hard molecule-based magnets of formula ·S ,with a fully interlocked structure 显示文摘 | Vaz M G F Pinheiro L M M Stumpf H O | 1999 | Chemistry-A European Journal1999，5，5： | 1 |
| 15 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions 显示文摘 | Lima A L S Damatta F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，： | 1 |
| 16 | Aggregate distribution and soil organic matter under different tillage systems for vegetable crops in a Red Latosol from Brazil 显示文摘 | PINHEIRO E F M PEREIRA M G ANJOS L H C | 2004 | Soil and Tillage Research2004，77，： | 1 |
| 17 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | Lima A L S Damatta F M Pinheiro H A | 2002 | Environ Exp Bot2002，47，： | 1 |
| 18 | Photochemical response and oxidative stress in two clones of Coffea cane- phora under water deficit conditions显示文摘 | Lima A L S Damatta F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，： | 1 |
| 19 | Spermatogenic cycle length and spermatogenic efficiency in the gerbil ( Meriones unguiculatus) 显示文摘 | Segatelli T M Franea L R Pinheiro P F | 2004 | J Androl2004，25，6： | 1 |
| 20 | Soft and hard (opba)}a] 3 S ]-Etrad+ = radical cation, M^1 = Mn' or Cox , molecules], with a fully interlocked structure显示文摘 | Vaz M G F Pinheiro L M M Stumpf H O | 1999 | Chem Eur J molecule-based magnets of formula [(Etrad)2M2 {Cu opba = ortho-phenylenebis (oxamato) S solvent 19991999，5，： | 1 |
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