Direction of splenic venous flow assessed by pulsed doppler flowmetry in patients with a large splenorenal shunt. Relatin to spontaneous hepatic encephalopathy.

概要

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In the present study, we assessed the clinical significance of the determination of the direction of splenic venous flow by the doppler flowmetry in relation to hepatic encephalopathy in 21 patients with a large splenorenal shunt. Clearly, the direction of blood flow in the splenic vein assessed by the pulsed doppler flowmetry differentiated patients with a history of chronic hepatic encephalopathy or patients in whom hepatic encephalopathy subsequently occurred from those without hepatic encephalopathy in extensive splenorenal shunting.