1.A Case of Porto-systemic (Inose-type) Encephalopathy Effectively Treated with Balloon-occluded Retrograde Transvenous Obliteration
Masahide IWASHITA ; Kazufumi FUKUTA ; Atsushi TAGAMI ; Daishi TERAKURA ; Takahide WAKAYAMA ; Hironori NAKAMURA ; Hiroo HATAKEYAMA ; Takao HAYASHI ; Teruo MAEDA ; Shinji NISHIWAKI
Journal of the Japanese Association of Rural Medicine 2016;65(2):237-243
We describe a case of Inose-type hepatic encephalopathy due to congenital gastro-renal shunt that was effectively treated with balloon-occluded retrograde transvenous obliteration (B-RTO). An 80-year-old woman repeatedly experienced syncope. Her plasma concentration of NH3 was elevated to 2363 level and syncope attacks improved after the gastro-renal shunt was closed by B-RTO. Although a congenital gastro-renal shunt is usually treated by surgical ligation, B-RTO is can be effective and less invasive treatment for such cases.
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