Research advances in diagnosis and treatment of post-transjugular intrahepatic portosystemic shunt hepatic encephalopathy
10.3760/cma.j.issn.1007-3418.2016.07.015
- VernacularTitle:经颈静脉肝内门体分流术后肝性脑病诊治进展
- Author:
Jinfeng YANG
1
;
Bingqiang ZHANG
Author Information
1. 400016,重庆医科大学附属第一医院消化科
- Keywords:
Liver cirrhosis;
Hepatic encephalopathy;
Portal hypertension;
Portal-systemic encephalopathy;
Transjugular intrahepatic portosystemic shunt
- From:
Chinese Journal of Hepatology
2016;24(7):545-548
- CountryChina
- Language:Chinese
-
Abstract:
Transjugular intrahepatic portosystemic shunt (TIPS) has become an important minimally invasive interventional technique for the treatment of complications of cirrhotic portal hypertension,and currently,it is often used in cirrhotic patients with esophagogastric variceal bleeding (EVB),intractable ascites,hepatic hydrothorax,and Budd-Chiari syndrome.On one hand,TIPS can effectively reduce portal vein pressure and the risk of EVB and intractable ascites;on the other hand,it may reduce the blood flow in liver perfusion,aggravate liver impairment,and cause porto-systemic encephalopathy.Related influencing factors should be evaluated comprehensively in order to prevent the development of post-TIPS hepatic encephalopathy.The diagnosis and treatment of post-TIPS hepatic encephalopathy is still a great challenge in current clinical practice.This article reviews the diagnosis and treatment of post-TIPS hepatic encephalopathy to enhance people's knowledge of this disease.
