A Case of Porto-systemic (Inose-type) Encephalopathy Effectively Treated with Balloon-occluded Retrograde Transvenous Obliteration
10.2185/jjrm.65.237
- VernacularTitle:猪瀬型肝性脳症に対してB-RTOが著効した1例
- Author:
Masahide IWASHITA
;
Kazufumi FUKUTA
;
Atsushi TAGAMI
;
Daishi TERAKURA
;
Takahide WAKAYAMA
;
Hironori NAKAMURA
;
Hiroo HATAKEYAMA
;
Takao HAYASHI
;
Teruo MAEDA
;
Shinji NISHIWAKI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2016;65(2):237-243
- CountryJapan
- Language:Japanese
-
Abstract:
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.
