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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 | Nutritional assessment in cirrhotic patients with hepatic encephalopathy显示文摘Hepatic encephalopathy(HE) is one of the worst complications of liver disease and can be greatly influenced by nutritional status. Ammonia metabolism, inflammation and muscle wasting are relevant processes in HE pathophysiology. Malnutrition worsens the prognosis in HE, requiring early assessment of nutritional status of these patients. Body composition changes induced by liver disease and limitations superimposed by HE hamper the proper accomplishment of exams in this population, but evidence is growing that assessment of muscle mass and muscle function is mandatory due to the role of skeletal muscles in ammonia metabolism. In this review, we present the pathophysiological aspects involved in HE to support further discussion about advantages and drawbacks of some methods for evaluating the nutritional status of cirrhotic patients with HE, focusing on body composition. | Fernando Gomes Romeiro Lais Augusti | 2015 | World Journal of Hepatology2015，7，30： | 6 |
| 3 | Acute fatty liver of pregnancy associated with severe acute pancreatitis:A case report显示文摘Acute fatty liver of pregnancy is a rare disease that affects women in the third trimester of pregnancy. Although infrequent, the disease can cause maternal mortality. The diagnosis is not always clear until the pregnancy is terminated, and significant complications, such as acute pancreatitis, can occur. Pancreatic involvement typically only occurs in severe cases after the development of hepatic and renal impairment. To date, little knowledge is available regarding how the disease causes pancreatitis. Treatment involves supportive measures and pregnancy interruption. In this report, we describe a case of a previously healthy 26-year-old woman at a gestational age of 27 wk and 6 d who was admitted with severe abdominal pain and vomiting. This case illustrates the clinical and laboratory overlap between acute fatty liver of pregnancy and pancreatitis, highlighting the difficulties in differentiating each disease. Furthermore, the hypothesis for this overlapping is presented, and the therapeutic options are discussed. | Cássio Vieira de Oliveira Alecsro Moreira Julio P Baima Leticia de C Franzoni Talles B Lima Fabio da S Yamashiro Kunie Yabuki Rabelo Coelho Ligia Y Sassaki Carlos Antonio Caramori Ferno G Romeiro Giovanni F Silva | 2014 | World Journal of Hepatology2014，6，7： | 3 |
| 4 | Monosegmental fixation for the treatment of fractures of the thoracolumbar spine显示文摘 | Defino HL Herrero CF Romeiro CF | 2007 | Indian J Orthop2007，41，4： | 1 |
| 5 | The effect of microstructure and environment on fatigue crack growth in 7049 alloy at negative stress ratios显示文摘 | Fonte Mda Romeiro F Freitas Mde Stanzl-Tschegg S E Tchegg E K Vasudevan A K | 2003 | Int J Fatigue2003，25，： | 1 |
| 6 | A new and efficient procedure for preparing 1,2,3-triazoles 显示文摘 | Romeiro G A Cecilia M de Souza B V | 1997 | Tet- rahedron Letters1997，38，29： | 1 |
| 7 | Low temperature conversion of some Brazilian municipal and industrial sludges 显示文摘 | Lutz H Romeiro G A Damasceno R N | 2000 | Bioresource Technology2000，74，： | 1 |
| 8 | Syn- thesis ,trypanocidal activity and docking studies of no- vel quinoxaline-N-acylhydrazones, designed as cruzain inldbitors candidates 显示文摘 | Romeiro N C Agnirre G Hem ndez P | 2009 | Bioorg Med Chem2009，17，15： | 1 |
| 9 | Can variation in aquaporin 4 gene be associated with different outcomes in traumatic brain edema显示文摘 | Romeiro RR Romano-Silva MA De Marco L | 2007 | Neurosci Lett2007，426，： | 1 |
| 10 | Low temperature conversion of some Brazilian municipal and industria sludges显示文摘 | Lutz H Romeiro G A Damasceno R N | 2002 | BioresourceTechnology2002，7，1： | 1 |
| 11 | Heart failure-induced cachexia显示文摘 | Okoshi MP Romeiro FG Paiva SA | 2013 | Arq Bras Cardiol2013，100，5： | 1 |
| 12 | Comparative study of efficacy and safety between propofol and midazolam for sedation during colonoscopy显示文摘 | Ivano FH Romeiro PC Matias JE | 2010 | Rev Col Bras Cir2010，37，1： | 1 |
| 13 | Low temperature conversion(LTC)-an alternative method to treat sludge generated in an industrial wastewater treatment station-batch and continuous process comparison显示文摘 | Vieira G E G Romeiro G A Sella S M | 2009 | Bioresour Technol2009，100，4： | 1 |
| 14 | Monosegmental fixation for the treatment of fractures of the thoracolumbar spine显示文摘 | Defino HL Herrero CF Romeiro CF | 2007 | Indian J Orthop2007，41，4： | 1 |
| 15 | Comparative study of efficacy and safety between propofol and midazolam for sedationduring colonoscopy显示文摘 | Ivano FH Romeiro PC Matias JE eta| | 2010 | Rev Col Bras Cir2010，37，1： | 1 |
| 16 | Sao Francisco Basin-exploration frontier for gas in central Brazil显示文摘 | Romeiro Silva P C Braun O Zalan P V | | 0，，： | 1 |
| 17 | FreqtI'ency of periodontal pathogens in euivalent peri-implant and perio- dontal clinical statuses 显示文摘 | Cortelli SC Cortelli JR Romeiro RL | 2013 | Archives of oral biology2013，58，1： | 1 |
| 18 | Low temperature conversion of some Brazilian municipal and industrial sludges 显示文摘 | Romeiro G A Damasceno R N | 2002 | Bioresource Technology2002，7，1： | 1 |
| 19 | In vitro evaluation of actinomycetes as antagonists to Ralstonia solanacearum 显示文摘 | Moura A B Romeiro R S DA | 1999 | Ciencia e Agrotecnnologia1999，23，2： | 1 |
| 20 | Low temperature conversion of some Brazilian municipal and industrial sludges显示文摘 | LUTZ H ROMEIRO G DAMASCENO R N | 2000 | Bioresource Technology2000，74，2： | 1 |
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