{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:34:57Z","timestamp":1775327697558,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Indian J Gastroenterol"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1007\/s12664-020-01042-x","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T04:12:36Z","timestamp":1600143156000},"page":"377-387","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Early, late, or no shunt embolization in patients with cirrhosis- and portosystemic shunt\u2013related hepatic encephalopathy"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9587-336X","authenticated-orcid":false,"given":"Cyriac Abby","family":"Philips","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasidharan","family":"Rajesh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rizwan","family":"Ahamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meera","family":"Mohanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Augustine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"1042_CR1","doi-asserted-by":"crossref","unstructured":"Philips CA, Rajesh S, Augustine P, Padsalgi G, Ahamed R. Portosystemic shunts and refractory hepatic encephalopathy: patient selection and current options. Hepat Med. 2019;11:23\u201334.","DOI":"10.2147\/HMER.S169024"},{"issue":"6","key":"1042_CR2","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1053\/j.gastro.2018.03.035","volume":"154","author":"M Guillaume","year":"2018","unstructured":"Guillaume M, Bureau C. Should the presence of spontaneous portosystemic shunts be implemented to the model for end-stage liver disease score for a better prediction of outcome? Gastroenterology. 2018;154:1569\u201371.","journal-title":"Gastroenterology."},{"issue":"6","key":"1042_CR3","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1053\/j.gastro.2018.01.028","volume":"154","author":"M Sim\u00f3n-Talero","year":"2018","unstructured":"Sim\u00f3n-Talero M, Roccarina D, Mart\u00ednez J, et al. Association between portosystemic shunts and increased complications and mortality in patients with cirrhosis. Gastroenterology. 2018;154:1694\u20131705.e4.","journal-title":"Gastroenterology"},{"key":"1042_CR4","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.jceh.2018.04.008","volume":"8","author":"S Nardelli","year":"2018","unstructured":"Nardelli S, Gioia S, Ridola L, Riggio O. Radiological intervention for shunt related encephalopathy. J Clin Exp Hepatol. 2018;8:452\u20139.","journal-title":"J Clin Exp Hepatol"},{"key":"1042_CR5","doi-asserted-by":"crossref","unstructured":"Gwon DI, Kim YH, Ko GY, et al. Vascular plug-assisted retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy: a prospective multicenter study. J Vasc Interv Radiol. 2015;26:1589\u201395.","DOI":"10.1016\/j.jvir.2015.07.011"},{"key":"1042_CR6","doi-asserted-by":"crossref","unstructured":"Saad WE, Wagner CC, Al-Osaimi A, et al. The effect of balloon-occluded transvenous obliteration of gastric varices and gastrorenal shunts on the hepatic synthetic function: a comparison between Child-Pugh and model for end-stage liver disease scores. Vasc Endovascular Surg. 2013;47:281\u20137.","DOI":"10.1177\/1538574413485646"},{"key":"1042_CR7","doi-asserted-by":"crossref","unstructured":"Kumamoto M, Toyonaga A, Inoue H, et al. Long-term results of balloon-occluded retrograde transvenous obliteration for gastric fundal varices: hepatic deterioration links to portosystemic shunt syndrome. J Gastroenterol Hepatol. 2010;25:1129\u201335.","DOI":"10.1111\/j.1440-1746.2010.06262.x"},{"key":"1042_CR8","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/S1051-0443(07)61912-5","volume":"12","author":"T Fukuda","year":"2001","unstructured":"Fukuda T, Hirota S, Sugimura K. Long-term results of balloon-occluded retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy. J Vasc Interv Radiol. 2001;12:327\u201336.","journal-title":"J Vasc Interv Radiol"},{"key":"1042_CR9","doi-asserted-by":"publisher","first-page":"1649","DOI":"10.1053\/j.gastro.2018.06.092","volume":"155","author":"G Privitera","year":"2018","unstructured":"Privitera G, Figorilli F, Jalan R, Mehta G. Portosystemic shunt embolization and recurrent ascites: a single-center case series. Gastroenterology. 2018;155:1649\u201350.","journal-title":"Gastroenterology."},{"key":"1042_CR10","doi-asserted-by":"crossref","unstructured":"Laleman W, Simon-Talero M, Maleux G, et al. Embolization of large spontaneous portosystemic shunts for refractory hepatic encephalopathy: a multicenter survey on safety and efficacy. Hepatology. 2013;57:2448\u201357.","DOI":"10.1002\/hep.26314"},{"key":"1042_CR11","doi-asserted-by":"crossref","unstructured":"Lynn AM, Singh S, Congly SE, et al. Embolization of portosystemic shunts for treatment of medically refractory hepatic encephalopathy. Liver Transpl. 2016;22:723\u201331.","DOI":"10.1002\/lt.24440"},{"key":"1042_CR12","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1007\/s12664-017-0787-8","volume":"36","author":"CA Philips","year":"2017","unstructured":"Philips CA, Kumar L, Augustine P. Shunt occlusion for portosystemic shunt syndrome related refractory hepatic encephalopathy-a single-center experience in 21 patients from Kerala. Indian J Gastroenterol. 2017;36:411\u20139.","journal-title":"Indian J Gastroenterol"},{"key":"1042_CR13","doi-asserted-by":"crossref","unstructured":"An J, Kim KW, Han S, Lee J, Lim YS. . Improvement in survival associated with embolization of spontaneous portosystemic shunt in patients with recurrent hepatic encephalopathy. Aliment Pharmacol Ther. 2014;39:1418\u201326.","DOI":"10.1111\/apt.12771"}],"container-title":["Indian Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12664-020-01042-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12664-020-01042-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12664-020-01042-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T02:21:05Z","timestamp":1631672465000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12664-020-01042-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["1042"],"URL":"https:\/\/doi.org\/10.1007\/s12664-020-01042-x","relation":{},"ISSN":["0254-8860","0975-0711"],"issn-type":[{"value":"0254-8860","type":"print"},{"value":"0975-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"12 November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 April 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"CAP receives consulting and advisory fees from Cipla\u00ae, Waterley\u00ae, Mylan\u00ae, and Samarth Life Sciences\u2122; SR, TG, RA, MM, and PA declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study and retrospective collection of data were approved by the institutional ethics committee and have been performed following the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics statement"}},{"value":"The authors are solely responsible for the data and the contents of the paper. In no way, the Honorary Editor-in-Chief, Editorial Board Members, or the printer\/publishers are responsible for the results\/findings and content of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}]}}