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  • Title: [Evaluation of hepatic encephalopathy in portacaval shunts and mesenterico-caval bypass with the jugular vein].
    Author: Thau A, Bucci L, Ziparo V, Schillaci A.
    Journal: Minerva Chir; 1975 Apr 30; 30(8):449-53. PubMed ID: 1128785.
    Abstract:
    Data relating to 30 patients subjected to side-to-side porta-cava anastomosis and 30 to mesenterico-cava by-pass with the internal jugular vein are presented. At follow-up after a period of over 1 yr, encephalopathy was observed in 40% and 21% of the two groups respectively. Angiography of the coeliac tripod and superior mesenteric showed the existence of a post-operative hepatopetal flow in 80% of porta-cava cases. This incidence was only 30% in the mesenterico-cava group. The relation between the clinical and angiographic data is briefly discussed and neuropsychiatric findings in patients with a picture of hepatic encephalopathy are also presented.
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