Improvement of Liver Function After Surgery for Budd-Chiari Syndrome

Kuniyoshi, Yukio; Koja, Kageharu; Miyagi, Kazufumi; Uezu, Tooru; Yamashiro, Satoshi; Arakaki, Katsuya; Nagano, Takaaki; Mabuni, Katsuhito; Senaha, Shigenobu

doi:10.1007/s00595-004-2884-4

Cited by 3 publications

(2 citation statements)

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“…PH and liver function can be improved after early and effective treatment and long-term outcome of BCS is generally satisfied. [ 18 , 25 – 30 ] After interventional treatment for BCS, most of our patients have survived without notable symptoms of PH. Long-term survival of these patients is not clear because short follow-up duration, and it is also rarely reported elsewhere.…”

Section: Discussionmentioning

confidence: 97%

Liver cirrhosis caused by chronic Budd–Chiari syndrome

Lin

Zhang²,

Wang³

et al. 2017

Medicine

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Chronic Budd–Chiari syndrome (BCS) is a rare cause of liver cirrhosis (LC) and tends to be misdiagnosed in clinical practice. In order to characterize LC caused by chronic BCS, we conducted this retrospective observational study. Medical records of all patients who were initially diagnosed as chronic BCS with LC when discharged from our department from January, 2011 to October, 2016 were reviewed. Cirrhotic patients with known causes and cases lacked key data were excluded. Data of remaining patients was collected and analyzed. A total of 15 cases were included in this study. Patients with LC caused by chronic BCS were characterized by preserved liver function and prominent portal hypertension (PH). Abdominal distention and edema of lower extremities were most common initial manifestations. Intra- or extrahepatic collaterals on imaging studies were of great importance for differential diagnosis. Most of these patients received interventional angioplasty followed by anticoagulation with warfarin and survived without obvious complications of PH. Chronic BCS was a rare but important cause of LC and should always be considered in patients with chronic liver disease and so-called cryptogenic LC. Early diagnosis and timely treatment may improve outcome. Correct interpretation of imaging examinations was fundamental to avoiding misdiagnosis.

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Section: Discussionmentioning

confidence: 97%

Liver cirrhosis caused by chronic Budd–Chiari syndrome

Lin

Zhang²,

Wang³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…We previously described our corrective procedure for BCS that consists of reconstruction of the occluded IVC using autologous pericardium patch and reopening as many occluded hepatic veins as possible. [1][2][3] Malignant involvement of the IVC or superior vena cava (SVC) is sometimes surgically treated using autologous pericardium, which is considered good material for patch reconstruction after partial resection of the IVC or SVC. [4][5][6][7] We previously demonstrated that autologous pericardium is more effective than bovine or horse pericardium and expanded polytetrafluoroethylene (ePTFE) for reconstruction of the IVC in dogs.…”

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confidence: 99%