A case of hepatic encephalopathy successfully treated by antegrade glycerin enema through percutaneous endoscopic cecostomy
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- TOMIKASHI Koichi
- Digestive Disease Center, Kohoku General Hospital
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- NOMURA Yuh
- Digestive Disease Center, Kohoku General Hospital
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- MIYAWAKI Kiichiro
- Digestive Disease Center, Kohoku General Hospital
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- SHIMADA Ayumi
- Digestive Disease Center, Kohoku General Hospital
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- KANEMITSU Daisuke
- Digestive Disease Center, Kohoku General Hospital
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- TAKASHIMA Hidetaka
- Digestive Disease Center, Kohoku General Hospital
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- ABE Mitsumasa
- Digestive Disease Center, Kohoku General Hospital
Bibliographic Information
- Other Title
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- 経皮的内視鏡的盲腸瘻からの順行性浣腸によりコントロール良好となった,排便障害をともなう肝性脳症の1例
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Abstract
A 76-year-old man with liver cirrhosis, a chronic defecation disorder and a refractory hepatic encephalopathy was hospitalized for the hepatic encephalopathy. The encephalopathy quickly improved upon treatment, but a high level of serum ammonia persisted. We inserted a percutaneous endoscopic cecostomy at the cecum and an antegrade glycerin enema through it to treat the chronic defecation disorder, which was a deteriorative factor of the hepatic encephalopathy. After the aforementioned procedure, the chronic defecation disorder improved and the serum ammonia level dramatically decreased. The patient continued the antegrade glycerin enema at home, and serum ammonia values remained low in comparison to levels measured prior to the administration of treatment. The subject has not experienced a recurrence of hepatic encephalopathy.<br>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 105 (1), 60-67, 2008
The Japanese Society of Gastroenterology
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Keywords
Details 詳細情報について
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- CRID
- 1390282681378065152
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- NII Article ID
- 10021270187
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- NII Book ID
- AN00192124
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- ISSN
- 13497693
- 04466586
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed