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Portocaval shunts' role in gut microbiota and hepatic encephalopathy: The gut-to-brain pathway.
World J Gastroenterol
November 2024
Department of Gastroenterology, Istanbul Medipol University Sefakoy Health Practice Research Center, İstanbul 38000, Türkiye.
I read the study by Zhao with great interest. Although the study design was quite complicated, it was successful in raising awareness of science and relevant researchers. Thirty patients with liver cirrhosis and portal hypertension secondary to chronic hepatitis B were included in the study.
View Article and Find Full Text PDFA Rare Case of Childhood Malformations, Abernethy Syndrome: Literature Review and Presentation of Two Cases.
Exp Clin Transplant
October 2024
From the Department of General Surgery, Gazi University, Ankara, Türkiye.
Abernethy syndrome is a rare congenital vascular anomaly. In this condition, blood from the portal system is diverted to the caval system through a portocaval shunt, entirely or partially bypassing the liver. Prevalence figures in the literature range from 1 per 30000 population up to 1 per 50000 population.
View Article and Find Full Text PDFComputed tomographic features of segmental aplasia of the caudal vena cava, portocaval shunt and Situs ambiguous in two dogs.
Aust Vet J
November 2024
Centre Hospitalier Vétérinaire ADVETIA, 9 avenue Louis Bréguet 78140, Vélizy-Villacoublay, France.
A 3-year-old crossbreed dog (case 1) and a 3-month-old German Shorthaired Pointer (case 2) were presented for acute signs of encephalopathy. A portosystemic shunt (PSS) was suspected based on clinical context and laboratory exam results and was confirmed on computed tomography (CT) angiography in both cases. A left-sided azygos (case 1) and right-sided azygos (case 2) continuation of an interrupted caudal vena cava (CVC) and a situs ambiguous (SA) were also observed and considered as incidental findings.
View Article and Find Full Text PDFComparison of specialized stent versus generic stent and bare stent combination for transjugular intrahepatic portosystemic shunt creation.
Sci Rep
June 2024
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Avenue #1277, Wuhan, 430022, China.
Article Synopsis
- The study investigates the effectiveness of Transjugular Intrahepatic Portosystemic Shunt (TIPS) using Viatorr stents compared to a generic stent-graft/bare stent combination in patients with liver issues.
- Clinical data from 145 patients was analyzed, showing that while both groups had high stent patency rates over time, the combination group fared slightly better, though this difference was not statistically significant.
- Independent risk factors for post-TIPS complications were identified, including portal vein diameter and thrombosis, suggesting that the generic combination may be a suitable option in areas with limited resources.
Hepatic myelopathy neurological complication of chronic liver disease: two case reports.
J Med Case Rep
June 2024
Departement of Neurology, CHU Fattouma Bourguiba, Fattouma Bourguiba Hospital, Avenue 1Er Juin. 5000, Monastir, Tunisia.
Background: Hepatic myelopathy is a very rare neurological complication of chronic liver disease. Patients habitually present with progressive pure motor spastic paraparesis. This neurological dysfunction is almost always due to cirrhosis and portocaval shunt, either surgical or spontaneous.
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