Abstract:
:A case of a 41-year-old man with diarrhea, hypoalbuminemia, and cryptogenic cirrhosis with features of portal hypertension is described. Protein-losing enteropathy was confirmed by analysis of whole-gut lavage fluid, and intestinal inflammation and infection were excluded. Distal duodenal biopsy specimens showed evidence of edematous villi with prominent submucosal vascular and lymphatic vessels. A transjugular intrahepatic portosystemic stent-shunt was inserted, resulting in resolution of both his diarrhea and elevated whole gut lavage fluid protein concentrations. His symptoms recurred and then again improved after shunt thrombosis and parallel shunt placement, respectively. Histological improvement of the villous edema was also noted. This is the first recorded case of protein-losing enteropathy caused by portal hypertension confirmed by successful treatment with transjugular intrahepatic portosystemic stent-shunt.
journal_name
Gastroenterologyjournal_title
Gastroenterologyauthors
Stanley AJ,Gilmour HM,Ghosh S,Ferguson A,McGilchrist AJdoi
10.1016/s0016-5085(96)70033-1subject
Has Abstractpub_date
1996-12-01 00:00:00pages
1679-82issue
6eissn
0016-5085issn
1528-0012pii
S0016508596700331journal_volume
111pub_type
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