Prevention and treatment of hepatic encephalopathy during the perioperative period of transjugular intrahepatic portosystemic shunt

doi:10.4240/wjgs.v15.i8.1564

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Aug 27, 2023 (publication date) through Sep 16, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Aug 27, 2023; 15(8): 1564-1573
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1564

Table 2 Modalities for preventing and treating postoperative transjugular intrahepatic portosystemic shunt-related hepatic encephalopathy

Prevention	Treatment
Lactulose	Lactulose
Rifaximin	Rifaximin
Albumin (potential)	Correction of biochemical parameters
	Withdrawal of nocturnal sedation
	Discontinued use of PPIs
	Stent flow restriction
	Liver transplantation

PPIs: Proton pump inhibitors.

Citation: Wang LJ, Yao X, Qi Q, Qin JP. Prevention and treatment of hepatic encephalopathy during the perioperative period of transjugular intrahepatic portosystemic shunt. World J Gastrointest Surg 2023; 15(8): 1564-1573
URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1564.htm
DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1564