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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 | Giant hepatic extra-gastrointestinal stromal tumor treated with cytoreductive surgery and adjuvant systemic therapy:A case report and review of literature显示文摘BACKGROUND Primary extra-gastrointestinal stromal tumors(E-GIST)of the liver are rare.The clinical presentation may range from asymptomatic to bleeding or manifestations of mass effect.Oncologic surgery followed by adjuvant therapy with imatinib is the standard of care.However,under specific circumstances,a cytoreductive approach may represent a therapeutic option.We describe herein the case of an 84-year-old woman who presented with a tender,protruding epigastric mass.Abdominal computed tomography scan revealed a large,heterogeneous mass located across segments III,IV,V,and VIII of the liver.The initial approach was transarterial embolization of the tumor,which elicited no appreciable response.Considering the large size and central location of the tumor and the advanced age of the patient,non-anatomic complete resection was indicated.Due to substantial intraoperative bleeding and hemodynamic instability,only a near-complete resection could be achieved.Histopathology and immunohistochemical staining confirmed the diagnosis of primary E-GIST of the liver.Considering the risk/benefit ratio for therapeutic options,debulking surgery may represent a strategy to control pain and prolong survival.CASE SUMMARY Here,we present a case report of a patient diagnosed with E-GIST primary of the liver,which was indicated a cytoreductive surgery and adjuvant therapy with imatinib.CONCLUSION E-GIST primary of the liver is a rare conditional,the treatment is with systemic therapy and total resection surgery.However,a cytoreductive surgery will be necessary when a complete resection is no possible. | Michel Ribeiro Fernandes Caroline Lorenzoni Almeida Ghezzi Tomaz J M Grezzana-Filho Flávia Heinz Feier Ian Leipnitz Aljamir Duarte Chedid Carlos Thadeu Schmidt Cerski Marcio Fernandes Chedid Cléber RositoPinto Kruel | 2021 | World Journal of Gastrointestinal Surgery2021，13，3： | 3 |
| 3 | Effect of various surface modifications of wood flour on the properties of PP/wood composites显示文摘 | Lívia Dányádi János Móczó Béla Pukánszky | 2009 | Composites Part A2009，，2： | 2 |
| 4 | A learning algorithm for adaptive canonical correlation analysis of several data sets显示文摘 | Via J Santamaria I P rez J | 2007 | Neural Networks2007，20，1： | 1 |
| 5 | Clinical trials referral resource current clinical trials administering the antiangiogenesis agent SU 5416显示文摘 | VIA L E GORE-LANGTON R E PLUDA J M | 2000 | Oncology (Huntingt)2000，4，： | 1 |
| 6 | Meta-analysis of gray matter ab- normalities in autism spectrum disorder 显示文摘 | Via E Padua J Cardoner N | 2011 | Arch Gen Psychiatry2011，68，4： | 1 |
| 7 | Effect of various surface modifications of wood flour on the properties of PP/wood Composites显示文摘 | Lívia Dányádi János Móczó Béla Pukánszky | 2010 | Composites Part A:Applied Polymer Science2010，41，2： | 1 |
| 8 | Salinity responses of the juvenile penaeid shrimp Penaeus japonicus显示文摘 | Dalla Via G J | 1986 | Aquaculture1986，55，4： | 1 |
| 9 | From sequence to structural analysis in protein phosphorylation motifs显示文摘 | Via A Diella F Gibson T J | 2011 | Frontiers in Bioscience-Landmark2011，16，： | 1 |
| 10 | Diethylstilbestrol impairs the morphology and function of mouse gubemaculum testis in culture 显示文摘 | Zhang X Li J H /Via L | 2012 | Cell Biology and Toxicology2012，28，6： | 1 |
| 11 | Gustatory perception alterations in obesity: An fMRI study显示文摘 | Csaba Szalay Mihály Aradi Attila Schwarcz Gergely Orsi Gábor Perlaki Lívia Németh Sophia Hanna Gábor Takács István Szabó László Bajnok András Vereczkei Tamás Dóczi József Janszky Sámuel Komoly Péter ?rs Horváth László Lénárd Zoltán Karadi | 2012 | Brain Research2012，，： | 1 |
| 12 | A comparative study of four vulnerability mapping methods in a detritic aquifer under mediterraneanclimatic conditions显示文摘 | Draoui M Vias J Andreo B | 2008 | Environ Geol2008，54，3： | 1 |
| 13 | In vitro antimicrobial production of beta-lactamases,amino glycoside modifying enzymes, and chloram-phenicol acetyltransferase and susceptibility of clinical isolates of acine-tobacter baumanni显示文摘 | Via J Marcos a Marco F | 1993 | Antimicrob Agents Chemother1993，37，： | 1 |
| 14 | Vulnerability of human environment to risk: Case of groundwater contamination risk显示文摘 | PERLES ROSELLO M J VIAS MARTINEZ J M ANDREO NAVARRO B | 2009 | Environmental Intematianal2009，38，： | 1 |
| 15 | Electrical and Thermal Conductivity and Tensile and Flexural Properties of Carbon Nanotube/Potycarbonate Resins显示文摘 | King J A Via M D Caspary J A | 2010 | Journal of Ap- plied Polymer Science2010，118，5： | 1 |
| 16 | In vivo proton magnetic resonance spectroscopy of diseased prostate: spectroscopic features of malignant versus benign pathology显示文摘 | J.M García-Segura M Sánchez-Chapado C Ibarburen J Via?o J.C Angulo J González J.M Rodríguez-Vallejo | 1999 | Magnetic Resonance Imaging1999，，5： | 1 |
| 17 | Deterministic CCA-based algorithms for blind equalization of FIR-MIMO channels 显示文摘 | Via J Santamaria I Perez J | 2007 | IEEE Transactions on Signal Processing2007，55，7： | 1 |
| 18 | Proliferation of the vascular endothelium of the iris following total debridement of the corneal epithelium and limbal excision of rabbits显示文摘 | Rejane Maira Góes F1ávia Le?o Barbosa Sidney Jú1io de Faria-e-Sousa | | 0，，： | 1 |
| 19 | In vitro antim icrobial production of beta- lacramases, am inoglyeoside modifying enzymes, and chloramphenicol acetyhransferase and suscep tibility of clinical iso lates of acinetobacter baumanni显示文摘 | Via J Mareos A Marco F | 1993 | Antim icrob Agents Chemother1993，37，： | 1 |
| 20 | Electrical and thermal conductivity and tensile and flexural properties of carbon nanotube/polycarbonate resins 显示文摘 | KING J A VIA M D CASPARY J A | 2010 | Journal of Applied Polymer Science2010，118，5： | 1 |
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