Document Detail


Diagnosis and management of severe Budd-Chiari syndrome.
MedLine Citation:
PMID:  14627513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the diagnostic standards and treatment of severe Budd-Chiari syndrome (BCS). METHODS: The clinical data of 126 patients with severe BCS treated from November 1994 to June 2001 at our hospital were retrospectively analyzed. Percutaneous transhepatic recanalization and dilation and/or stent placement of the main hepatic vein was performed in 10 patients. Mesocaval C type shunt with artificial graft was performed in 68 patients, splenojugular shunt in 33, mesojuglar shunt in 1, and mesocaval shunt or improved splenopneumopexy after percutaneous intraluminal angioplasty and stent placement of the inferior vena cava in 14. RESULT: Six patients died during perioperation. In 120 patients followed up for 6 months to 7 years, 89 had excellent results and 31 good results. CONCLUSIONS: Diagnostic standards of severe BCS are suggested. Proper treatment should be used according to the pathological changes of the inferior vena cava and main hepatic veins.
Authors:
Pei-Qin Xu; Xiao-Wei Dang
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  2     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-20     Completed Date:  2004-06-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  525-8     Citation Subset:  IM    
Affiliation:
Department of General Surgery, First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China. vl_institute1086@163.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angioplasty, Balloon / instrumentation,  methods*
Budd-Chiari Syndrome / diagnosis*,  mortality,  therapy*
Cohort Studies
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Portacaval Shunt, Surgical / methods*
Postoperative Complications / mortality
Preoperative Care
Retrospective Studies
Risk Assessment
Severity of Illness Index
Stents*
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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