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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 | Acute fatty liver of pregnancy associated with severe acute pancreatitis:A case report显示文摘Acute fatty liver of pregnancy is a rare disease that affects women in the third trimester of pregnancy. Although infrequent, the disease can cause maternal mortality. The diagnosis is not always clear until the pregnancy is terminated, and significant complications, such as acute pancreatitis, can occur. Pancreatic involvement typically only occurs in severe cases after the development of hepatic and renal impairment. To date, little knowledge is available regarding how the disease causes pancreatitis. Treatment involves supportive measures and pregnancy interruption. In this report, we describe a case of a previously healthy 26-year-old woman at a gestational age of 27 wk and 6 d who was admitted with severe abdominal pain and vomiting. This case illustrates the clinical and laboratory overlap between acute fatty liver of pregnancy and pancreatitis, highlighting the difficulties in differentiating each disease. Furthermore, the hypothesis for this overlapping is presented, and the therapeutic options are discussed. | Cássio Vieira de Oliveira Alecsro Moreira Julio P Baima Leticia de C Franzoni Talles B Lima Fabio da S Yamashiro Kunie Yabuki Rabelo Coelho Ligia Y Sassaki Carlos Antonio Caramori Ferno G Romeiro Giovanni F Silva | 2014 | World Journal of Hepatology2014，6，7： | 3 |
| 3 | Direct cell-cell interaetion of cardiomyoeytes is key for bone marrow stromal eells to go into eardiac lineage in vitro 显示文摘 | Fukuhara S Tomita S Yamashiro S | 2003 | J Thorae Cardiovase Surg2003，125，： | 1 |
| 4 | A genetic algorithm approach to generator unit commitment显示文摘 | Swarup K S Yamashiro S | 2003 | Electrical Power and Energy Systems2003，25，9： | 1 |
| 5 | Fascin,an actin-bundlingprotein,inducesmembrane protrusions and increases cellmotility oepithelial cells显示文摘 | Yamashiro S Yamakita Y Ono S | 1998 | Mol Biol Cell1998，9，5： | 1 |
| 6 | Direct cell-cell interaction of cardiomyocytes is key for bone marrow stromal cells to go into cardiac lineage in vitro显示文摘 | Fukuhara S Tomita S Yamashiro S | 2003 | Thorac Cardiovasc Surg2003，125，6： | 1 |
| 7 | Effects of positive pressure in odontogenic keratocysts 显示文摘 | Oka S Kubota Y Yamashiro T | 2005 | J Dent Res2005，84，10： | 1 |
| 8 | Direct cell-cell interaction of cardiomyocytes is key for bone marrow stromal cells to go into cardiac lineage in vitro显示文摘 | Fukuhara S Tomita S Yamashiro S | 2003 | J Thorac Cardiovasc Surg2003，125，6： | 1 |
| 9 | Distinct roles of ROCK (Rho-kinase) and MLCK in spatial regulation of MLC phosphorylation for assembly of stress fibers and focal adhesions in 313 fibroblasts显示文摘 | Totsukawa G Yamakita Y Yamashiro S | 2001 | J Cell Biol2001，50，： | 1 |
| 10 | Redefining and Extending the Business Model with Information Technology:Dell Computer Corporation显示文摘 | KRAEMER K L DEDRICK J YAMASHIRO S | 2000 | The Information Society2000，16，1： | 1 |
| 11 | Fascin, an actin-bundling protein, induces membrane protrusions and increases cell motility of epithelial ceils显示文摘 | Yamashiro S Yamakita Y Ono S | 1998 | Mol Biol Cell1998，9，5： | 1 |
| 12 | Association of CTLA-4 gene A/G polymorphism in Japanese type 1 diabetic patients with younger age of onset and autoimmune thyroid disese显示文摘 | Takara M Yamashiro S Komiya I | | 0，，： | 1 |
| 13 | Arterial blood supply to the caudate lobe of the liver from the proximal branches of the right inferior phrenic artery in patients with recurrent hepatocellular carcinoma after chemoembolization显示文摘 | Miyayama S Yamashiro M Shibata Y | 2012 | Japanese Journal of Radiology2012，30，1： | 1 |
| 14 | Application of an expert against snow accretion on transmission lines 显示文摘 | Nara K Yamashiro S system to decisions on Yanaura Y | 1988 | IEEE Transactions on Power Sys-terns1988，3，3： | 1 |
| 15 | Direct cell-cell interaction of cardiomyocytes is key for bone marrow stromal cells to go into cardiac lineage in vitro显示文摘 | Fukuhara S Tomita S Yamashiro S | 2003 | J Thorac Cardiovasc Surg2003，125，6： | 1 |
| 16 | VEGF^164 is proinflammatory in the diabetic retina显示文摘 | Ishida S Usui T Yamashiro K | 2003 | IOVS2003，44，5： | 1 |
| 17 | Direct cell-cell interaction of cardiomyocytes is key for bone marrow stromal cells to go into cardiac lineage in vitro显示文摘 | Fukuhara S Tomita S Yamashiro S | 2003 | J Thorac Cardiovasc Surg2003，125，6： | 1 |
| 18 | High-efficiency in vivo gene transfer using intraarterial plasmid DNA injection following in vivo electroporation显示文摘 | Nishi T Yoshizato K Yamashiro S | 1996 | Cancer Res1996，56，： | 1 |
| 19 | pathological,but not physiological,ischemia-induced retinal neovascularization显示文摘 | Ishida S Usui T Yamashiro K | 2003 | J Exp Med2003，198，3： | 1 |
| 20 | Functions of fascin in dendritic cells显示文摘 | Yamashiro S | 2012 | Crit Rev Immunol2012，32，1： | 1 |
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