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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | One-week dual therapy with ranitidine bismuth citrate and clarithromycin for the treatment of Helicobacter pylori infection in Brazilian patients with peptic ulcer显示文摘AIM: To assess the efficacy and safety of ranitidine bismuth citrate plus clarithromycin given for 1 wk in Brazilian patients with peptic ulcer.METHODS: One hundred and twenty patients with peptic ulcer were randomized in two treatment groups: (1) 1-wk regimen consisting of ranitidine bismuth citrate 400 mg b.i.d. with clarithromycin 500 mg b.i.d. or (2) 2-wk regimen of the same treatment. Eradication of the infection was considered when both the histologic examination and the urease test were negative for the infection 3 mo after treatment.RESULTS: By intention to treat analysis, Helicobacter pylori (H pylori) was eradicated in 73% and 76% of patients, respectively treated for 1 or 2 wk (P>0.05). By per protocol analysis, the eradication rates were 80% and 83%,respectively, in patients treated for 1 or 2 wk (P>0.05). Nine patients (8.2%) reported minor side effects. CONCLUSION: One-week therapy with ranitidine bismuth citrate and clarithromycin is safe, well tolerated and effective for treatment of H pylori infection, andappears to be comparable to the 2-wk regimen in terms of efficacy. | Maria Aparecida Mesquita S(o|^)nia Letícia Silva Lorena Jazon Romilson Souza Almeida Ciro Garcia Montes Fábio Guerrazzi Luciana T Campos José Murilo Rubiota Zeitune | 2005 | World Journal of Gastroenterology2005，11，23： | 1 |
| 3 | Role of 5 aminosalicylicacid in treatment of inflammatory bowel disease:a systematic review显示文摘 | Gisbert JP Gomollon F Mate Let | 2002 | Dig Dis Sci2002，47，3： | 1 |
| 4 | Application of a macroscale hydrologic model to estimate the water balance of the Arkansas-Red River basin显示文摘 | ABDULLA F A LET TENMAIER D P WOOD E F | 1996 | J Geophys Res1996，101，3： | 1 |
| 5 | Localization of the ethylene receptor ETR1 to the endoplasmic reticulum of Arabidopsis显示文摘 | Chen Y F Randlett M D Findell J Let aI | 2002 | Journal of Biological Chemistry2002，277，19： | 1 |
| 6 | GAIP, a Gα-3-binding protein, is associated with Golgi-derived vesicles and protein trafficking显示文摘 | WYLIE F HEIMANN K LET L | 1999 | Am J Physiol1999，276，： | 1 |
| 7 | Use of upflow sludge blanket resterconcept for biological wastewater treatment 显示文摘 | Lettings G Ve-lsen A F M Zeeu W J | 1980 | Biotechnology and Bioengineering1980，22，4： | 1 |
| 8 | Late toxicity results of the GORTEC 94-01 randomized trial comparing radiotherapy with concomitant radiochemotherapy for advanced-stage orophar',nx carcinoma:comparison of LENT/SOMA, RTOG/ EORTC, and NCI-CTC scoring systems 显示文摘 | Denis F Garaud P Bar let li | 2003 | lnt J Radiat Oncol Biol Phys2003，，： | 1 |
| 9 | Sex hor- mone-binding globulin and type 2 diabetes mellitus显示文摘 | LET N NESTLER J E STRAUSS III J F | 2012 | Trends Endocrin Met2012，23，1： | 1 |
| 10 | Use of the upflow sludge blanket (USB) reator concept for biological wastewater treatment显示文摘 | Letting G Van Velsen A F Hobma S W | 1980 | Biotechnol Bioengineering1980，22，： | 1 |
| 11 | Functional reorganization of the brain in recovery from stfiatocapsular infarction in man 显示文摘 | Weiller C Chol let F Friston KJ | 1992 | Ann Neurol1992，3，1： | 1 |
| 12 | Use of the upflow sludge blanket(USB) reator concept for biological wastewater treatment显示文摘 | Letting G Van Velsen A F Hobma S W | 1980 | Biotechnol Bioengng1980，22，： | 1 |
| 13 | Structure of Silk by Raman Spectromicroscopy: from the Spinning Glands to the Fibers 显示文摘 | Let~vre T Paquet-Mercier F Rioux-Dub6 J F | 2012 | Biopolymers2012，97，6： | 1 |
| 14 | Extending the Kernighan/Lin heuristic for hardware and software functional partitioning显示文摘 | VAHID F LET D | 1997 | Design Automation for Embedded Systems1997，2，2： | 1 |
| 15 | Extending tJae kernighan/lin heuristic for hardware and software functional partitioning 显示文摘 | Vahid F Let D | 2012 | Design Automation for Em- bedded Systems2012，2，2： | 1 |
| 16 | Use of upflowsludge bianket(USB)reaetor conecept foe biological wastewater treat-ment,especially for anaerobic treatment显示文摘 | LETTING G Van VELSNE A F M HOBOMA S W | 1980 | Biotech Bioeng1980，22，4： | 1 |
| 17 | Rice crop mapping and monitoring using ERS-1 data based on experiment and modeling results显示文摘 | LET T RIBBES F WANG L F | 1997 | IEEE Transactions on Geoscience and Remote Sensing1997，35，1： | 1 |
| 18 | Use of Upflow Sludge Blanket(USB) Reactor Concept foe Biological Wastewater Treatment,Especially for Anaerobic Treatment显示文摘 | G Letting A F M Van Velsen S W Hoboma | 1980 | Biotech Bioeng1980，，2： | 1 |
| 19 | Cancer immunotherapy based on killing of Salmonella-infected tumor cells 显示文摘 | Avogadri F Martinoli C Petrovska Let ol | 2005 | Cancer Res2005，65，9： | 1 |
| 20 | Biotechnological sulfide removal in three polyurethane carder reactors rectors stirred reactor biorotor reactor and uplow reactor显示文摘 | Buisman C J Ben W F Gatze Letting A G | 1990 | Water Reseach1990，24，2： | 1 |
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