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  • 2011Book Chapter
    [["dc.contributor.author","Wiltfang, Jens"],["dc.contributor.author","Nolte, Wilhelm"],["dc.contributor.author","von Heppe, J."],["dc.contributor.author","Bahn, Erik"],["dc.contributor.author","Pilz, J."],["dc.contributor.author","Hajak, G."],["dc.contributor.author","Rüther, Eckart"],["dc.contributor.author","Ramadori, G."],["dc.contributor.editor","Hüther, Gerald"],["dc.contributor.editor","Kochen, Walter"],["dc.contributor.editor","Simat, Thomas J."],["dc.contributor.editor","Steinhart, Hans"],["dc.date.accessioned","2017-09-07T11:44:27Z"],["dc.date.available","2017-09-07T11:44:27Z"],["dc.date.issued","2011"],["dc.description.abstract","Neuropsychiatric symptoms due to any type of dysfunction and/or portal-systemic shunting are summarized as hepatic encephalopathy (HE). HE in the presence of liver cirrhosis and/or portal-systemic shunting has been termed portal-systemic encephalopathy (PSE). PSE is most frequent among the HE syndromes and is almost exclusively seen in patients with advanced cirrhosis and portal hypertension. Portal-systemic shunting either spontaneous due to portal hypertension, following surgical portocaval anastomosis, or subsequent to transjugular intrahepatic portosystemic stent-shunt (TIPSS) is regarded as the primary causative condition for PSE, not hepatic dysfunction per se. PSE may be considered as a disorder of multiple neurotransmitter systems among which derangements of the seroton-ergic system have been documented most consistently. Incipient PSE is frequently paralleled by the occurence of sleep disorders, however, their relation to PSE remains unclear. We observed a transient increase of sleep disorders post-TIPSS, which were only in part correlated to other symptoms of PSE. Among the biochemical parameters studied only an association between arterial ammonia levels and sleep disorders became apparent, whereas no significat relation was observed for peripheral tryptophan."],["dc.identifier.doi","10.1007/978-1-4615-4709-9_22"],["dc.identifier.gro","3151664"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/8481"],["dc.language.iso","en"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","chake"],["dc.publisher","Springer"],["dc.publisher.place","Boston, MA"],["dc.relation.crisseries","Advances in Experimental Medicine and Biology"],["dc.relation.isbn","978-1-4613-7133-5"],["dc.relation.ispartof","Advances in Experimental Medicine and Biology"],["dc.relation.ispartofseries","Advances in Experimental Medicine and Biology"],["dc.relation.issn","0065-2598"],["dc.title","Sleep Disorders and Portal-Systemic Encephalopathy Following Transjugular Intrahepatic Portosystemic Stent Shunt in Patients with Liver Cirrhosis"],["dc.type","book_chapter"],["dc.type.internalPublication","unknown"],["dc.type.peerReviewed","no"],["dspace.entity.type","Publication"]]
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