Hepatic encephalopathy recurrence can be reduced through education on precipitants correction and pharmacotherapy with lactulose and rifaximin. Nutritional support with protein-rich diets improves QOL and reduces episodes.
A case report describes a novel interventional approach for hepatic myelopathy, where paraspinal vein shunt embolization alleviated post-TIPS complications. The study suggests that venous compression may be the primary mechanism underlying HM pathogenesis.
Researchers have identified a new geometric marker of the brain ventricles that can predict which patients with idiopathic normal pressure hydrocephalus (iNPH) will benefit from shunt surgery. The study found that a specific geometric feature, asphericity, is strongly associated with better surgical outcomes.
ABCA–ABCG transporters play a crucial role in biliary secretion, with mutations leading to various hepatobiliary disorders. Next-generation genetic testing enables tailored management, while emerging therapies hold promise for cholestatic diseases. Genetic counseling is recommended for family planning and risk assessment.
A new study from Nagoya University in Japan has found that petrolatum-based eye ointments can cause MicroShunt glaucoma implants to swell and potentially rupture. The study suggests that clinicians should avoid using these ointments on patients with the implant, particularly when it is exposed outside the conjunctiva.
A study of 169 patients with porto-sinusoidal vascular disease found that portal vein thrombosis was associated with higher rates of esophageal variceal bleeding, ascites, and antithrombin III deficiency. The study also reported a higher risk of mortality in patients with PVT compared to those without.
Researchers discovered that lipid deposition on medical implant surfaces can signal to the immune system whether to attack or ignore the implant. This knowledge could help develop biomaterials that deflect host immune aggression, reducing malfunction rates for devices like pacemakers and surgical mesh.
A longitudinal study of 161 children with spina bifida found that fetal surgery improved mobility and reduced the need for follow-up surgeries. Fetal surgery also resulted in fewer shunt placements and better motor skills scores compared to traditional postnatal repair.
Researchers analyzed 43 patients with hypoplastic left heart syndrome (HLHS) who underwent either an arterial or venous shunt as part of the hybrid palliation procedure. The study found that the arterial shunt group showed better pulmonary arterial growth, shorter surgical times, and higher oxygen saturations at discharge. However, no ...