Management of difficult, severe and recurrent Budd-Chiari syndrome / 中华外科杂志
Chinese Journal of Surgery
; (12): 1149-1152, 2008.
Article
em Zh
| WPRIM
| ID: wpr-258314
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the management of complicated, severe or recurrent Budd-Chiari syndrome.</p><p><b>METHODS</b>From February 2004 to August 2007, 28 patients with complicated, severe or recurrent Budd-Chiari syndrome were treated. In this series, 16 patients relapsed after treated with percutaneous transluminal angioplasty or stent deployment, 2 cases relapsed after surgery; and the other 10 were under severe conditions and hard to treat, including malignancy of the inferior vena cava and right atrium. Meso-cavo-atrial shunt was carried out in 10 cases, meso-cavo-jugular shunt in 6 (capitis medusa was used in one case), cavoatrial shunt in 2 and cavo-jugular shunt in 1, mesocaval shunt in 2, and radical or extended radical correction in 7.</p><p><b>RESULTS</b>One patient (3.6%) died in 24 hours after operation. Graft infection occurred in 1 case. Excellent, good, fair, poor and death rate were 22.2%, 55.5%, 14.8%, 3.7% and 3.7%, respectively, the overall effective rate was 92.5%.</p><p><b>CONCLUSION</b>To select personalized treatment according to the disease status brings hopes to difficult, severe, recurrent Budd-Chiari syndrome.</p>
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Índice:
WPRIM
Assunto principal:
Recidiva
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Cirurgia Geral
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Derivação Portocava Cirúrgica
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Estudos Retrospectivos
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Seguimentos
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Resultado do Tratamento
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Estado Terminal
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Implante de Prótese Vascular
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Síndrome de Budd-Chiari
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2008
Tipo de documento:
Article