The patients with portal-systemic encephalopathy, and presence of gastro-renal shunts(above 1cm in a diameter), as determined via contrast enhanced computed tomography (CT)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.The presence of gastrorenal shunts, (above 1 cm in a diameter), as determined via contrast enhanced computed tomography 2.Liver cirrhosis with hepatic encehalopathy
Exclusion criteria
Exclusion criteria: 1.recent gastrointestinal bleeding 2.Child-Pugh classification C 3.serum creatinine level>2 mg/dl 4. HCC 5.splenectomy,PSE,TIPS, and Hassab operation 6.portal vein thrombosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neuropsychological Tests improvement of hepatic encephalopathy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Event(death,gastrointestinal bleeding,occurrence of HCC, and liver failure) 2.Child-Pugh score, and MELD 3.Serum laboratory values included the serum ammonia level 4.HQOL(SF-36) | — |
Countries
Japan