Hepatic Encephalopathy After TIPS Placement: Predictive Factors, Prevention Strategies, and Management

Objective: To investigate the predictive factors for amputations in southern Brazil. Methods: This was a review of medical records from amputated patients in a tertiary hospital in southern Brazil. Results: One hundred and fifteen medical reports regarding to admissions of 51 amputated patients (31.37% women and 68.62% men) were analyzed. The main cause of amputation in diabetics was the neuropathy and its complications. Among nondiabetics, the main causes of amputation were polydactyly (31.58%) and traumatism (traffic accidents, home accidents, and work accidents). This data showed that the investigated amputations are predominantly in male, aging approximately sixty years old, presenting comorbidities like diabetes and arterial hypertension. Moreover, the most amputations were performed as the minor type. Conclusion: These data can contribute for implementation of targeted health education strategies and interventions, improving the prevention of amputations in persons with diabetes.

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04:03 PM Abstract No. 275 MELD and MELD-Na as predictive factors for transjugular intrahepatic portosystemic shunt revision due to new onset hepatic encephalopathy

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2018.12.338 ◽

2019 ◽

Vol 30 (3) ◽

pp. S123

Author(s):

J. Wang ◽

R. Patel ◽

I. Passioura ◽

R. Kayaleh ◽

A. Andes ◽

...

Keyword(s):

Hepatic Encephalopathy ◽

Predictive Factors ◽

Transjugular Intrahepatic Portosystemic Shunt ◽

Portosystemic Shunt ◽

Shunt Revision ◽

Intrahepatic Portosystemic Shunt ◽

New Onset

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Predictors and Management of Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt: The Current State of Literature

Digestive Disease Interventions ◽

10.1055/s-0038-1675755 ◽

2018 ◽

Vol 02 (04) ◽

pp. 395-401

Author(s):

Brett Fortune ◽

Karunakaravel Karuppasamy ◽

Baljendra Kapoor ◽

Connie Ju

Keyword(s):

Hepatic Encephalopathy ◽

Predictive Factors ◽

Transjugular Intrahepatic Portosystemic Shunt ◽

Treatment Strategies ◽

Portosystemic Shunt ◽

Candidate Selection ◽

Morbidity And Mortality ◽

Treatment Technique ◽

Current State ◽

Intrahepatic Portosystemic Shunt

AbstractHepatic encephalopathy is a well-known sequela of transjugular intrahepatic portosystemic shunt (TIPS) insertion, but objective clinical and laboratory predictors remain poorly elucidated. Numerous medical and interventional strategies have also been described, though little consensus has been reached on the optimal treatment technique to improve morbidity and mortality in patients who develop refractory encephalopathy. To improve TIPS candidate selection and prognostication, this review consolidates predictive factors for post-TIPS encephalopathy and offers an updated description of historical and contemporary interventional techniques for management. Despite the abundant literature on treatment strategies, large studies directly comparing outcomes between the various techniques are nonexistent.

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