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| 1 | Disabling portosystemic encephalopathy in a non-cirrhotic patient: successful endovascular treatment of a giant inferior mesenteric-caval shunt via the left internal iliac vein显示文摘Hepatic encephalopathy is suspected in non-cirrhotic cases of encephalopathy because the symptoms are accompanied by hyperammonaemia. Some cases have been misdiagnosed as psychiatric diseases and consequently patients hospitalized in psychiatric institutions or geriatric facilities. Therefore, the importance of accurate diagnosis of this disease should be strongly emphasized. A 68-year-old female patient presented to the Emergency Room with confusion, lethargy, nausea and vomiting. Examination disclosed normal vital signs. Neurological examination revealed a minimally responsive woman without apparent focal deficits and normal reflexes. She had no history of hematologic disorders or alcohol abuse. Her brain TC did not demonstrate any intracranial abnormalities and electroencephalography did not reveal any subclinical epileptiform discharges. Her ammonia level was > 400 mg/d L(reference range < 75 mg/d L) while hepatitis viral markers were negative. The patient was started on lactulose, rifaximin and low-protein diet.On the basis of the doppler ultrasound and abdomen computed tomography angiography findings, the decision was made to attempt portal venography which confirmed the presence of a giant portal-systemic venous shunt. Therefore, mechanic obliteration of shunt by interventional radiology was performed. As a consequence, mesenteric venous blood returned to hepatopetally flow into the liver, metabolic detoxification of ammonia increased and hepatic encephalopathy subsided. It is crucial that physicians immediately recognize the presence of non-cirrhotic encephalopathy, in view of the potential therapeutic resolution after accurate diagnosis and appropriate treatments. | Luca de Martinis Gloria Groppelli Riccardo Corti Lorenzo Paolo Moramarco Pietro Quaretti Pasquale De Cata Mario Rotondi Luca Chiovato | 2017 | World Journal of Gastroenterology2017，23，47： | 3 |
| 2 | Spatial- temporal variability of soil moisture and its estimation across scales显示文摘 | Brocca L Melone F Moramarco T | 2010 | Water Resources Research2010，46，2： | 1 |
| 3 | Soil moisture temporal stability over experimental areas in Central Italy 显示文摘 | Brocca L Melone F Moramarco T | 2009 | Geoderma2009，148，34： | 1 |
| 4 | Assimilation of observed soil moisture data in storm rainfall-runoff modeling显示文摘 | Brocca L Melone F Moramarco T | 2009 | Journal of Hydrologic Engineering2009，14，2： | 1 |
| 5 | On the estimation of antecedent wetness conditions in rainfall-runoff modelling显示文摘 | Brocca L Melone F Moramarco T | 2008 | Hydrological Processes2008，22，5： | 1 |
| 6 | Inorganic element concentrations in cataract human lenses显示文摘 | Rasi V Costantini S Moramarco A Giordano R Giustolist R Gabrieli CB | 1992 | Ann Ophthalmol1992，24，： | 1 |
| 7 | Lung ultrasound characteristics of community‐acquired pneumonia in hospitalized children显示文摘 | Vito Antonio Caiulo Luna Gargani Silvana Caiulo Andrea Fisicaro Fulvio Moramarco Giuseppe Latini Eugenio Picano Giuseppe Mele | 2012 | Pediatr Pulmonol2012，，3： | 1 |
| 8 | Uterine arteriove- nous malformation显示文摘 | Alessandrino F1 Di Silverio E Moramarco LP | 2013 | J Ultrasound2013，16，： | 1 |
| 9 | Localization and functional modification of L- type voltage-gated calcium channels in equine sperma- tozoa from fresh and frozen semen显示文摘 | ALBRIZIO M MORAMARCO A M NICASSIO M | 2015 | Theriogenolo- gy2015，83，3： | 1 |
| 10 | Indication for surgical treatment in patients with adolescent Idiopathic Scoliosis-a critical appraisal显示文摘 | Weiss HR Moramarco M | | 0，，01： | 1 |
| 11 | Forecasting discharges at the downstream end of a river reach through two simple Muskingum based procedures显示文摘 | Marco Franchini Anna Bernini Silvia Barbetta Tommaso Moramarco | 2011 | Journal of Hydrology2011，，3： | 1 |
| 12 | Juvenile polyp显示文摘 | Silvana Caiulo Fulvio Moramarco Vito Antonio Caiulo | 2014 | European Journal of Pediatrics2014，，： | 1 |
| 13 | A Realtime Stage Muskingum Forecasting Model for a Sitewithout Rating Curve显示文摘 | Tommaso Moramarco Silvia Barbettal Florisa Melone | 2006 | Hydrological Sciences - Journal - des Sci enees Hydrologiques2006，51，1： | 1 |
| 14 | Soil moisture temporal sta- bility over experimental areas in Central Italy显示文摘 | Brocca L Melone F Moramarco T | 2009 | Geoderma2009，148，3： | 1 |
| 15 | Soil moisture spatial variability in experimental areas of central Italy显示文摘 | BROCCA L MORBIDELLI R MELONE F MORAMARCO T | 2007 | Journal of Hydrology2007，333，2： | 1 |
| 16 | Uterine arte riovenous malformation显示文摘 | Alessandrino F Di Silverio E Moramarco LP | 2013 | J Ultrasound2013，16，1： | 1 |
| 17 | An accurate validation of a computational model of a human lumbosacral segment显示文摘 | MORAMARCO V PEREZ del PALOMAR A PAPPALET- TERE C | 2010 | J Biomech2010，43，2： | 1 |
| 18 | One step minilaparotomy-assisted transmesenteric portal vein recanalization combined with transjugular intrahepatic portosystemic shunt placement: A novel surgical proposal in pediatrics显示文摘Transjugular intrahepatic portosystemic shunt(TIPS) placement is a standard procedure for the treatment of portal hypertension complications. When this conventional approach is not feasible, alternative procedures for systemic diversion of portal blood have been proposed. A one-step interventional approach, combining minilaparotomy-assisted transmesenteric(MAT) antegrade portal recanalization and TIPS, is described in an adolescent with recurrent esophageal varice bleeding and portal cavernoma(PC). A 16-yearold girl was admitted to our Unit because of repeated bleeding episodes over a short period of time due to esophageal varices in the context of a PC. A portal vein recanalization through an ileocolic vein isolation with the MAT approach followed by TIPS during the same session was performed. In the case of failed portal recanalization, this approach, would also be useful for varice endovascular embolization. Postoperative recovery was uneventful. Treatment consisting of propanolol, enoxaparin and a proton pump inhibitor was prescribed after the procedure. One month post-op, contrast enhanced computed tomography confirmed the patency of the portal and intrahepatic stent grafts. No residual peritoneal fluid was detected nor opacification of the large varices. Endoscopy showed good improvement of the varices. Doppler ultrasound confirmed the accelerated flow in the portal stent and hepatopetal flow inside the intrahepatic portal branches. Three months post-op, TIPS maintained its hourglass shape despite a slight expansion. Portal hypertension and life threatening conditions related to PC would benefit from one-step portal recanalization. MAT-TIPS is feasible and safe for the treatment of PC even in children. This minimally invasive procedure avoids or delays surgical treatment or re-transplantation when necessary in pediatric patients. | Gloria Pelizzo Pietro Quaretti Lorenzo Paolo Moramarco Riccardo Corti Marcello Maestri Giulio Iacob Valeria Calcaterra | 2017 | World Journal of Gastroenterology2017，23，15： | 1 |
| 19 | Spatial-Temporal Variability of Soil Moisture and Its Estimation Across Scales 显示文摘 | Brocca L Melone F Moramarco T Et AI | 2010 | Water Resources Research2010，46，2： | 1 |
| 20 | Uterine arteriovenous malformation 显示文摘 | Alessandrino F Di Silverio E Moramarco LP | 2013 | J Ultrasound2013，16，1： | 1 |
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