Hepatic Encephalopathy in Patients with Liver Cirrhosis before and after TIPS
https://doi.org/10.16931/1995-5464.2015240-45
Abstract
Aim. To analyze the dynamics of hepatic encephalopathy after transjugular intrahepatic portosystemic shunting (TIPS).
Material and Methods. It was analyzed the results of complex survey of 52 patients who underwent TIPS. Self-expanding stents 8–10 cm, diameter of 8–10 mm and stent-graft were applied for portosystemic shunt creation.
Results. The two main complications of TIPS are hepatic encephalopathy progression and shunt’s malfunction. The
increased degree of portosystemic encephalopathy in 18 months postoperatively was revealed in 3 (10%) patients. Symptoms of encephalopathy were eliminated and did not effect on the patients’ life quality after discharge.
Conclusion. Assessment of encephalopathy’s degree and individual therapy in each patient significantly decrease the severity of encephalopathy postoperatively followed by improved life quality
About the Authors
I. I. Zatevakhin
Chair of Surgical Diseases, Pediatrics Faculty, N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Academican of Russian Academy of Sciences, Head of the Department of Surgical Diseases, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University
M. Sh. Tsitsiashvili
Chair of Surgical Diseases, Pediatrics Faculty, N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor of the Department of Surgical Diseases, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University
V. N. Shipovskiy
Chair of Surgical Diseases, Pediatrics Faculty, N.I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor of the Department of Surgical Diseases, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University
D. V. Monakhov
Chair of Surgical Diseases, Pediatrics Faculty, N.I. Pirogov Russian National Research Medical University; City Clinical Hostipal № 57
Russian Federation
Russian Federation
Cand. of Med. Sci., Associate Professor of the Department of Surgical Diseases, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University
A. V. Pan
City Clinical Hostipal № 57
Russian Federation
Russian Federation
Cand. of Med. Sci., Resident of City Clinical Hostipal № 57
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Review
For citations:
Zatevakhin I.I., Tsitsiashvili M.Sh., Shipovskiy V.N., Monakhov D.V., Pan A.V. Hepatic Encephalopathy in Patients with Liver Cirrhosis before and after TIPS. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(2):40-45. (In Russ.) https://doi.org/10.16931/1995-5464.2015240-45
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