Treatment of post‐shunt portal‐systemic encephalopathy by embolization of the shunt
J. Michael Henderson – 1 January 1989 – Operative ligation of portosystemic shunts is effective in controlling chronic portosystemic encephalopathy (CPSE) but is associated with significant mortality. Review of the records of five paients with CPSE treated with radiologic occlusion procedures showed that these are suitable alternatives to surgery. Three patients had alcoholic cirrhosis, one had hepatic fibrosis from schistosomiasis, and one had post‐necrotic cirrhosis. All had CPSE with progressive, severe cerebral impairment refractory to clinical treatment.