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Articles Published Processes
2/6/2023 6:38:44 AM | Browse: 146 | Download: 288
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Received |
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2022-10-17 12:12 |
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Peer-Review Started |
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2022-10-17 12:13 |
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To Make the First Decision |
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Return for Revision |
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2022-12-26 01:21 |
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Revised |
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2022-12-30 10:41 |
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Second Decision |
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2023-01-12 03:12 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Company Editor-in-Chief |
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2023-01-12 09:03 |
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Articles in Press |
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2023-01-12 09:03 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2023-01-29 14:19 |
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Publish the Manuscript Online |
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2023-02-06 06:38 |
| ISSN |
2307-8960 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Case Report |
| Article Title |
Treatment of portosystemic shunt-borne hepatic encephalopathy in a 97-year-old woman using balloon-occluded retrograde transvenous obliteration: A case report
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Akihiro Nishi, Tsuneaki Kenzaka, Misa Sogi, Shuichiro Nakaminato and Takahiro Suzuki |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Akihiro Nishi, MD, Doctor, General Medicine, Awa Regional Medical Center, 1155 Yamamoto, Tateyama 2940014, Chiba, Japan. akihiro.nishi24@gmail.com |
| Key Words |
Hepatic encephalopathy; Hyperammonemia; Portosystemic shunt; Balloon-occluded retrograde transvenous obliteration; Elderly; Case report |
| Core Tip |
Hyperammonemia and hepatic encephalopathy are common with portosystemic shunts. In this case, hepatic encephalopathy caused by shunting of the left common iliac and inferior mesenteric veins was successfully treated with balloon-occluded retrograde transvenous obliteration (B-RTO). A 97-year-old woman was diagnosed with hepatic encephalopathy secondary to a portosystemic shunt. The patient did not improve with conservative treatment: Lactulose, rifaximin, and a low-protein diet. B-RTO was performed, resulting in shunt closure and improvement in hyperammonemia and disturbance of consciousness. The patient was discharged without further consciousness disturbance. Portosystemic shunt-borne hepatic encephalopathy must be considered in the differential diagnosis for consciousness disturbance, including abnormal behavior and speech. |
| Publish Date |
2023-02-06 06:38 |
| Citation |
Nishi A, Kenzaka T, Sogi M, Nakaminato S, Suzuki T. Treatment of portosystemic shunt-borne hepatic encephalopathy in a 97-year-old woman using balloon-occluded retrograde transvenous obliteration: A case report. World J Clin Cases 2023; 11(4): 945-951 |
| URL |
https://www.wjgnet.com/2307-8960/full/v11/i4/945.htm |
| DOI |
https://dx.doi.org/10.12998/wjcc.v11.i4.945 |
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