USE OF BALLOON-OCCLUDED RETROGRADE TRANSVENOUS OBLITERATION WITH ETHANOLAMINE OLEATE FOR THE TREATMENT OF HEPATIC-ENCEPHALOPATHY IN A CIRRHOTIC PATIENT WITH A LARGE SPONTANEOUS SPLENORENAL SHUNT

We describe a technique for the treatment of hepatic encephalopathy in a cirrhotic patient with a large spontaneous splenorenal shunt. This large shunt was successfully occluded without severe complications by retrograde transrenal venous obliteration with ethanolamine oleate aft er balloon occlusion. This procedure may be an effective method to occ lude a large spontaneous splenorenal shunt for the treatment of hepati c encephalopathy.