Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment

World Journal of Gastroenterology : WJG
Deepak N AmarapurkarNikhil D Patel

Abstract

To evaluate patterns of obstruction, etiological spectrum and non-surgical treatment in patients with Budd-Chiari syndrome in India. Forty-nine consecutive cases of Budd-Chiari syndrome (BCS) were prospectively evaluated. All patients with refractory ascites or deteriorating liver function were, depending on morphology of inferior vena cava (IVC) and/or hepatic vein (HV) obstruction, triaged for radiological intervention, in addition to anticoagulation therapy. Asymptomatic patients, patients with diuretic-responsive ascites and stable liver function, and patients unwilling for surgical intervention were treated symptomatically with anticoagulation. Mean duration of symptoms was 41.5 +/- 11.2 (range = 1-240) mo. HV thrombosis (HVT) was present in 29 (59.1%), IVC thrombosis in eight (16.3%), membranous obstruction of IVC in two (4%) and both IVC-HV thrombosis in 10 (20.4%) cases. Of 35 cases tested for hypercoagulability, 27 (77.1%) were positive for one or more hypercoagulable states. Radiological intervention was technically successful in 37/38 (97.3%): IVC stenting in seven (18.9%), IVC balloon angioplasty in two (5.4%), combined IVC-HV stenting in two (5.4%), HV stenting in 11 (29.7%), transjugular intrahepatic portosystemic...Continue Reading

References

Nov 1, 1978·The American Journal of Digestive Diseases·D V DattaP N Chhuttani
Jul 1, 1991·Journal of Gastroenterology and Hepatology·A AroraM Berry
Nov 1, 1991·Annals of Surgery·H Bismuth, D J Sherlock
Apr 1, 1990·Journal of Clinical Gastroenterology·M L HautekeeteJ P Benhamou
Jul 1, 1989·Catheterization and Cardiovascular Diagnosis·Y S LoyaH G Desai
Apr 1, 1989·The Australian and New Zealand Journal of Surgery·K S RaoK K Srivastava
Aug 1, 1989·Journal of Vascular Surgery·Z G WangL Q Pu
Nov 1, 1989·Radiology·M L HautekeeteJ P Benhamou
Oct 1, 1986·Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine·S TaniguchiT Kusaba
Mar 1, 1980·Postgraduate Medical Journal·M S KhurooP N Chhuttani
Nov 1, 1995·European Journal of Haematology·S DayalA K Saraya
May 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·B RingeR Pichlmayr
Jan 1, 1995·Journal of Hepatology·H OkudaK Okuda
Sep 18, 1993·Lancet·V KohliS Nundy
Feb 1, 1993·AJR. American Journal of Roentgenology·K TakayasuS Yamazaki
Jan 1, 1996·American Journal of Surgery·A W HemmingE J Heathcote
Mar 1, 1996·Digestive Diseases·D Valla, J P Benhamou
Jul 1, 1996·Journal of Vascular and Interventional Radiology : JVIR·S S BaijalG Choudhuri
Feb 1, 1996·Journal of Hepatology·P MambriniJ C Grimaud
Mar 1, 1997·Cardiovascular and Interventional Radiology·J I BilbaoF Pardo
Feb 1, 1997·Journal of Hepatology·S DayalA K Saraya
Jul 1, 1997·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·A D MinH C Bodenheimer
Feb 18, 1998·World Journal of Surgery·A Pisani-CerettiG P Spina
Jul 1, 1998·The American Journal of Gastroenterology·R AggarwalS R Naik
Oct 31, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K OkudaS M Shrestha
Jul 1, 1999·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·G ZeitounD Valla
Oct 27, 1999·Journal of Gastroenterology and Hepatology·Y ChawlaJ B Dilawari
Mar 8, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M H DenningerD Valla
Jun 10, 2000·Journal of Gastroenterology and Hepatology·V SinghK Singh

❮ Previous
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Citations

Feb 22, 2012·Pediatric Cardiology·Maitri ChaudhuriVidhyashankar Subash Chandra
Nov 9, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marshall J OrloffBarbara Girard
Aug 24, 2011·World Journal of Radiology·Amar Mukund, Shivanand Gamanagatti
Jun 16, 2012·Indian Journal of Endocrinology and Metabolism·Arundhati DasguptaBikash Choudhury
Jul 26, 2013·Indian Journal of Pediatrics·Seema AlamAmar Mukund
Dec 28, 2010·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Marco SenzoloUNKNOWN Italian Association for the Study of the Liver (AISF) ad hoc
Feb 13, 2015·Intractable & Rare Diseases Research·Nobuhisa AkamatsuNorihiro Kokudo
Jan 18, 2012·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Tomohiro IwasakiYutaka Aoyagi
Nov 22, 2013·Liver International : Official Journal of the International Association for the Study of the Liver·Xingshun QiGuohong Han
Feb 26, 2016·European Journal of Gastroenterology & Hepatology·Varun K SharmaAabha Nagral
Nov 26, 2015·Gastroenterology Research and Practice·S RajeshAnkur Arora
Nov 18, 2008·Journal of Hepatology·Dominique-Charles Valla
Feb 20, 2015·Hematology·Lisa Baumann KreuzigerAgnes Lee
Jun 2, 2016·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Masaaki Hidaka, Susumu Eguchi
Aug 11, 2016·Liver International : Official Journal of the International Association for the Study of the Liver·Mohammad SakrAhmed Eldorry
Oct 19, 2016·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Praveer RaiRakesh Aggarwal
Jun 21, 2017·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Nitin JagtapD N Reddy
Aug 24, 2017·Liver International : Official Journal of the International Association for the Study of the Liver·Akash ShuklaShobna Bhatia
Apr 5, 2018·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Abhinav Jain, Akash Shukla
Jan 4, 2018·Liver International : Official Journal of the International Association for the Study of the Liver·Sumit K SinghUjjal Poddar
Nov 17, 2009·Journal of Pediatric Gastroenterology and Nutrition·Aabha NagralFazal Nabi
Jul 9, 2014·European Journal of Gastroenterology & Hepatology·Rachana KathuriaSanjay S Baijal
May 6, 2015·World Journal of Hepatology·Nawel AfredjNabil Debzi
Jan 5, 2020·Journal of Gastroenterology and Hepatology·Anand SharmaChundamannil Eapen Eapen
Feb 16, 2013·European Journal of Gastroenterology & Hepatology·Weirong RenDaiming Fan
Jul 4, 2020·Journal of Thrombosis and Haemostasis : JTH·Marcello Di NisioWalter Ageno
Jul 8, 2017·Hepatology International·Dominique-Charles Valla
Sep 21, 2017·Frontiers in Pediatrics·Riten Kumar, Bryce A Kerlin
Jul 22, 2020·Digestive Diseases and Sciences·A SharmaC E Eapen
Apr 12, 2016·Alimentary Pharmacology & Therapeutics· ShalimarS K Acharya
Jul 19, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Justin R BoikeUNKNOWN Advancing Liver Therapeutic Approaches (ALTA) Consortium

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