We present a case with hepatic myelopathy (HM) due to a surgical splenorenal shunt that was successfully treated by endovascular interventional techniques. [ncbi.nlm.nih.gov]

• Noncompliance

  CONCLUSIONS: Splenorenal shunt is an important treatment for noncompliant patients or patients living in remote areas where access to specialized treatments, such as endoscopy, transjugular intrahepatic portosystemic shunt, ultrasonography, and liver [ncbi.nlm.nih.gov]

• Myelopathy

  Hepatic myelopathy is a rare complication of chronic liver disease that is associated with extensive portosystemic shunts. [ncbi.nlm.nih.gov]

After an extensive workup, he was found to have hyperammonemia and encephalopathy due to formation of a spontaneous splenorenal shunt. There was no evidence of cirrhosis on biopsy or imaging and no portal hypertension when directly measured. [ncbi.nlm.nih.gov]

An appropriate, expedited workup should then be undertaken. © The American College of Gastroenterology 2011. All Rights Reserved. [journals.lww.com]

His initial workup at another hospital was significant only for hyperammonemia, so he was prescribed lactulose and rifaximin. [wjgnet.com]

The workup should include the following: Routine blood tests, including blood type and screen (indirect Coombs test), complete blood cell count, basic metabolic panel, liver function tests, prothrombin time, and partial thromboplastin time Doppler ultrasonography [mdedge.com]

CONCLUSIONS: Splenorenal shunt is an important treatment for noncompliant patients or patients living in remote areas where access to specialized treatments, such as endoscopy, transjugular intrahepatic portosystemic shunt, ultrasonography, and liver [ncbi.nlm.nih.gov]

The clinical findings and prognosis were examined with respect to portal hemodynamics including collateral vessel patterns, with or without the presence of SRS or short gastric vein (SGV). Median observation period was 30 months. [ncbi.nlm.nih.gov]

Prognosis after Distal Splenorenal Shunt: The prognosis for a positive end result following distal splenorenal shunt is good. Recovery from Distal Splenorenal Shunt: Total recovery from distal splenorenal shunt takes four to six weeks. [orangecountysurgeons.org]

Outlook (Prognosis) After DSRS surgery, bleeding is controlled in most people with portal hypertension. The highest risk of bleeding again is in the first month after surgery. References Dudeja V, Fong Y. The liver. [mountsinai.org]

Portal flow to the liver is maintained in 90% of patients with nonalcoholic etiology of portal hypertension and in 50% to 84% of patients with alcoholic cirrhosis depending on the degree of portal-azygos disconnection. [link.springer.com]

An alcohol-related liver disease etiology was significantly associated with death (SHR 1.99; 95% CI, 1.21-3.29). [aasldpubs.onlinelibrary.wiley.com]

Etiology and pathogenesis The portal vein is composed of the product of the transhepatic blood flow and the flow resistance in its current path. [memim.com]

Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]

While this approach offered epidemiologic advantages (elimination of bias arising from the indication for abdominal imaging, a low rate of missing data in this closely monitored patient group, and long follow-up times), it also represents a cohort with [aasldpubs.onlinelibrary.wiley.com]

Epidemiology, risk factors, and in-hospital mortality of venous thromboembolism in liver cirrhosis: A single-center retrospective observational study. Med Sci Monit. 2016;22:969–76. [PMC free article] [PubMed] [Google Scholar] 17. [ncbi.nlm.nih.gov]

Possible mechanisms of the pathophysiology are discussed and recommendations made on this basis for the selection of such patients for portal decompression. [ncbi.nlm.nih.gov]

With further clarification of the underlying pathophysiology and technological advances that have facilitated progress in both diagnosis and treatment, the goal of safe, selective management of patients presenting with variceal hemorrhage is closer to [karger.com]

Therefore, SSRSs may play an important role in liver disease outcomes, predominately mediated through decompression of the portal circulation, but this pathophysiology either resolves or becomes clinically inconsequential after the portal hypertension [aasldpubs.onlinelibrary.wiley.com]

CONCLUSIONS: TIPS is as effective as DSRS in preventing variceal rebleeding and may be more cost effective. TIPS, in all aspects, is equal to DSRS in the prevention of variceal rebleeding in patients who are medical failures. [ncbi.nlm.nih.gov]