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Title of Journal: Metab Brain Dis

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Abbravation: Metabolic Brain Disease

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Kluwer Academic Publishers-Plenum Publishers

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DOI

10.1002/jctb.5000424103

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1573-7365

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Hepatic encephalopathy following transjugular intr

Authors: Vanessa Stadlbauer Josef Tauss Horst R Portugaller Philipp Stiegler Florian Iberer Rudolf E Stauber
Publish Date: 2006/12/14
Volume: 22, Issue: 1, Pages: 45-50
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Abstract

Hepatic encephalopathy HE is a common problem after insertion of a transjugular intrahepatic portosystemic shunt TIPS which may be difficult to manage We present a case of severe postTIPS HE unresponsive to high doses of lornithinelaspartate LOLA despite reduction of venous ammonia levels in a dosedependent fashion Ultimately highgrade HE was successfully treated by a reduction stent and the patient subsequently underwent successful liver transplantation

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