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| 1 | Novel therapy for non-cirrhotic hyperammonemia due to a spontaneous splenorenal shunt显示文摘Spontaneous splenorenal shunts in the absence of cirrhosis have rarely been reported as a cause hyperammonemia with encephalopathy. Several closure techniques of such lesions have been described. Here we report a case of a patient with no history of liver disease who developed significant confusion. After an extensive workup, he was found to have hyperammonemia and encephalopathy due to formation of a spontaneous splenorenal shunt. There was no evidence of cirrhosis on biopsy or imaging and no portal hypertension when directly measured. The shunt was 18 mm and too large for embolization so the segment of the splenic vein between the portal vein and the shunt was occluded using an Amplatzer plug. Thus, the superior mesenteric flow was directed entirely to the liver. After interventional radiology closure of the shunt using this technique there was complete resolution of symptoms.The case represents the first report of a successful closure of splenorenal shunt via percutaneous embolization of the splenic vein with an amplatzer plug using a common femoral vein approach. | Shari S Rogal Angela Hu Rupal Bi Obaid Shaikh | 2014 | World Journal of Gastroenterology2014，20，25： | 5 |
| 2 | Rapid improvement in post-infectious gastroparesis symptoms with mirtazapine显示文摘We report the case of a 34-year-old woman with severe post-infectious gastroparesis who was transferred from an outside medical facility for a second opinion regarding management.This patient had no prior history of gastrointestinal symptoms.However,in the aftermath of a viral illness,she developed two months of intractable nausea,vomiting,and oral intake intolerance that resulted in numerous hospitalizations for dehydration and electrolyte disturbances.A solid-phase gastric emptying scan had confirmed delayed emptying,confirming gastroparesis.Unfortunately,conventional pro-kinetic agents and numerous anti-emetic drugs provided little or no relief of the patient’s symptoms.At our institution,the patient experienced a cessation of vomiting,reported a significant reduction in nausea,and toler-ated oral intake shortly after taking mirtazapine.Based on mirtazapine’s primary action as a serotonin(5-HT)1a receptor agonist,we infer that this receptor system mediated the clinical improvement through a combination of peripheral and central neural mechanisms.This report highlights the potential utility of 5-HT1a agonists in the management of nausea and vomiting.We conclude that mirtazapine may be effective in treating symptoms associated with non-diabetic gastroparesis that are refractory to conventional therapies. | Shinjini Kundu Shari Rogal Abdulkader Alam David J Levinthal | 2014 | World Journal of Gastroenterology2014，20，21： | 3 |
| 3 | Experience with end- to- loop pancreaticoenteroanastomosis in pancreticoduodenecomy 显示文摘 | Onopriev V Manuilov A Rogal M | 2003 | Hepatogastrcentetology2003，50，53： | 1 |
| 4 | Experience with end-to-loop pancreaticoenteroanastomosis in pancreticoduodenecomy显示文摘 | Onopriev V Manuilov A Rogal M | 2003 | Hepatogas-troentetology2003，50，53： | 1 |
| 5 | Exploring critical thinking in crit- ical care nursing education: a pilot study显示文摘 | ROGAL S M YOUNG J | 2008 | J Contin Educ Nurs2008，39，1： | 1 |
| 6 | Experience with end-to-loop pancreaticoenteroanastomosis in pancreaticoduodenectomy显示文摘 | Onopriev V Manuilov A Rogal M | 2003 | Hepatogastroenterology2003，50，53： | 1 |
| 7 | Towards a phylogeny and definition of species at the molecular level within the genus Mycobacterium显示文摘 | Rogall T Wolters J Flohr T | 1990 | Int J Syst Bacteriol1990，40，4： | 1 |
| 8 | Experience with end-to-loop pancreaticoente roanastomosis in pancreaticoduodenetomy显示文摘 | Onopriev V Manuilov A Rogal M | 2003 | Hepatogas- troenterology2003，50，53： | 1 |
| 9 | Hydrolysis of lign~Cellulosic biomass in water under elevated tempera- tures and pressures 显示文摘 | ROGAL IT INGRAM T BRUNNER G | 2008 | Journal of Supercritical Fluids2008，47，1： | 1 |
| 10 | Experience with endto-loop pancreaticoenteroanastomosis in pancreaticoduodenectomy 显示文摘 | Onopriev V Manuilov A Rogal M etal | 2003 | Hepatogastroenterology2003，50，53： | 1 |
| 11 | Experience with end - to - loop pancreaticoenteroanastomosis in pancreaticoduodenectomy 显示文摘 | Onopriev V Manuilov A Rogal M | 2003 | Hepatogastroenterology2003，50，53： | 1 |
| 12 | Learning by doing: Performance assessment of information literacy across the first-year curriculum 显示文摘 | Bluemle R Makula Y Rogal W | 2013 | College & Undergraduate Libraries2013，20，34： | 1 |
| 13 | Isolation and direct complete nucleotide determination of entire genes, characterisation of a gene coding for 16S rRNA显示文摘 | Edwards U Rogal T Blocker H | 1989 | Nucleic Acids Research1989，17，10： | 1 |
| 14 | Isolation and direct complete nucleotide determination of entire genes: characterization of a gene coding for 16S ribosomal RNA显示文摘 | Edwards U Rogall T B16ker H | 1989 | Nucleic Acids Research1989，17，： | 1 |
| 15 | Isolation and direct complete nucleotide determination of entire genes charac- terization of a gene coding for 16S ribosomal RNA 显示文摘 | Edwards U Rogall T Blocker H | 1989 | Nucleic Acids Research1989，17，19： | 1 |
| 16 | CFD simulation of turbulent flow显示文摘 | Rogall R S | 1984 | Fluid Mesh1984，16，2： | 1 |
| 17 | Stand und Entwicklungstendenzen der Lehre vonden strafprozessualen Beweisverboten显示文摘 | ROGALL | 1979 | ZStW1979，，： | 1 |
| 18 | Differentiation of mycobacterium species by direct sequencing of amplified DNA显示文摘 | Rogall T Flohr T Bottger E | 1990 | J Gen Microbiol1990，136，： | 1 |
| 19 | Isolation and direct complete nucleotide determination of entire genes: characterization of a gene coding for 16S riboso- mal RNA显示文摘 | Edwards U T Rogall H Blcker M | 1989 | Nucleic Acids Res1989，17，： | 1 |
| 20 | Inter- and intraobserver variability in the postoperative evaluation of transpedicular stabilization:computed tomography versus magnetic resonance imaging显示文摘 | Tohtz SW Rogal a P Taupitz M | | 0，，04： | 1 |
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