Challenges of Obtaining and Maintaining Gut Access in Hepatic Encephalopathy and Treatments of Desperation

This chapter explores the difficulties of maintaining gut access in patients with hepatic encephalopathy and suggests alternative methods such as using a small boar nasal feeding tube and magnetic bridles. It also discusses desperate treatment options like adjusting tips procedure and closing spontaneous shunts using interventional radiology, along with diagnostic pitfalls and treatment recommendations.