Discussion of liver transplantation for the treatment of hepatic myelopathy

VernacularTitle:肝移植治疗肝性脊髓病的临床讨论
Author: Rixin ZHANG ; Rui LIANG ; Zhenming GAO ; Qinlong LIU ; Liming WANG
Publication Type:Journal Article
Keywords: Hepatic myelopathy; Liver transplantation
From: Chinese Journal of Digestive Surgery 2014;13(4):315-316
CountryChina
Language:Chinese
Abstract: Hepatic myelopathy is one of special category changes of nervous system,which was secondary to the end-stage hepatic diseases and is a syndrome of myeleterosis.It usually occurred after portosystemic shunt surgery or collateral circulation of portosystemic vein.The prognosis of hepatic myelopathy is poor,and the progression of this disease is slow.Surgical approaches such as dissociation of colon and anastomosis of ileum and rectum aimed at reducing the absorption of toxic substance and thus to breakdown the blood ammonia and improve the symptoms of nervous system,but the effects are not satisfactory.The clinical data of 1 patient with hepatic myelopathy who received liver transplantation at the Second Affiliated Hospital of Dalian Medical University in April 2012 were retrospectively analyzed.The clinical symptoms and physical signs were improved,and muscle strength was effectively recovered in the patient.Liver transplantation might be an effective method for the treatment of hepatic myelopathy.