Prophylaxis of Hepatic Encephalopathy after Porta-Caval Anastomosis using Branched Chain Amino Acid Mixtures
Bleeding esophageal varices in cirrhotic patients is a cause of death in 40–50% of cases at its first occurring, and in 80% at its second occurring. This complication can effectively be prevented by porta-caval anastomosis. However, this kind of surgery is frequently responsible for the appearance of symptoms of hepatic encephalopathy (HE).
KeywordsHepatic Ence Cirrhotic Patient Esophageal Varix Amino Acid Solution Hepatic Coma
Unable to display preview. Download preview PDF.
- 1.J. E. Fischer and R. J. Baldessarini, Pathogenesis and therapy of hepatic coma, in: “Progress in Liver Disease”, H. Popper, F. Schaffner, eds., Grune and Stratton, New York, pp. 363397 (1976).Google Scholar
- 4.R. J. Adamson, K. Butt, S. Iyer, J. De Rose, C. R. Dennis, M. Kinkhabwala, D. Gordon, and E. Martin, Porta-caval shunt with arterialization of the portal vein by means of a low flow arterio-venous fistula, Surg. Ginecol. Obstet., 146: 869 (1978).Google Scholar
- 6.M. Sugiura and S. Gutagava, A New technique for treating esophageal varices, J. Thor. Cardiovasc. Surg. 66: 677 (1973).Google Scholar