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  • Title: [Treatment of refractory hepatic encephalopathy associated with insertion of a transjugular intrahepatic portosystemic shunt through new endovascular techniques: a case report].
    Author: Martínez Moreno B, Bellot P, de España F, Palazón JM, Such J, Pérez-Mateo M.
    Journal: Gastroenterol Hepatol; 2011; 34(7):468-73. PubMed ID: 21652116.
    Abstract:
    Insertion of a transjugular intrahepatic portosystemic shunt (TIPS) is an increasingly used treatment in the management of the complications of portal hypertension. However, one of the complications of this technique is refractory or recurrent hepatic encephalopathy, which poses a difficult clinical problem. We report the case of a patient who underwent TIPS insertion to control bleeding due to esophageal varices. The patient subsequently developed refractory hepatic encephalopathy, requiring reduction of the caliber of the shunt.
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