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- W2017222209 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 shunt (TIPS) in 13 (35.1%) and combined TIPS-IVC stenting in two (5.4%). Complications encountered in follow-up: death in five, re-stenosis of the stent in five (17.1%), hepatic encephalopathy in two and hepatocellular carcinoma in one patient. Of nine patients treated medically, two showed complete resolution of HVT.In our series, HVT was the predominant cause of BCS. In the last five years with the availability of sophisticated tests for hypercoagulability, etiologies were defined in 85.7% of cases. Non-surgical management was successful in most cases." @default.
- W2017222209 created "2016-06-24" @default.
- W2017222209 creator A5013950586 @default.
- W2017222209 creator A5076133463 @default.
- W2017222209 creator A5081123396 @default.
- W2017222209 date "2008-01-01" @default.
- W2017222209 modified "2023-10-04" @default.
- W2017222209 title "Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment" @default.
- W2017222209 cites W1523772921 @default.
- W2017222209 cites W1584937528 @default.
- W2017222209 cites W1606952461 @default.
- W2017222209 cites W1897839628 @default.
- W2017222209 cites W1905951037 @default.
- W2017222209 cites W1967535308 @default.
- W2017222209 cites W1973160966 @default.
- W2017222209 cites W1973926399 @default.
- W2017222209 cites W1974028132 @default.
- W2017222209 cites W1974186931 @default.
- W2017222209 cites W1976228591 @default.
- W2017222209 cites W1977115000 @default.
- W2017222209 cites W1980628423 @default.
- W2017222209 cites W1980768372 @default.
- W2017222209 cites W1982728410 @default.
- W2017222209 cites W1984179063 @default.
- W2017222209 cites W1986734705 @default.
- W2017222209 cites W1986925029 @default.
- W2017222209 cites W1987482095 @default.
- W2017222209 cites W1990008268 @default.
- W2017222209 cites W1990668247 @default.
- W2017222209 cites W2000845772 @default.
- W2017222209 cites W2002504657 @default.
- W2017222209 cites W2002807098 @default.
- W2017222209 cites W2005638082 @default.
- W2017222209 cites W2014927854 @default.
- W2017222209 cites W2015134971 @default.
- W2017222209 cites W2016339584 @default.
- W2017222209 cites W2019305472 @default.
- W2017222209 cites W2021559753 @default.
- W2017222209 cites W2027012879 @default.
- W2017222209 cites W2029187087 @default.
- W2017222209 cites W2029497230 @default.
- W2017222209 cites W2035945290 @default.
- W2017222209 cites W2037727562 @default.
- W2017222209 cites W2039115330 @default.
- W2017222209 cites W2042445304 @default.
- W2017222209 cites W2043171370 @default.
- W2017222209 cites W2044108325 @default.
- W2017222209 cites W2051257721 @default.
- W2017222209 cites W2055271697 @default.
- W2017222209 cites W2059087829 @default.
- W2017222209 cites W2067450669 @default.
- W2017222209 cites W2068130488 @default.
- W2017222209 cites W2069870052 @default.
- W2017222209 cites W2071971403 @default.
- W2017222209 cites W2072582319 @default.
- W2017222209 cites W2076651612 @default.
- W2017222209 cites W2077916649 @default.
- W2017222209 cites W2078324777 @default.
- W2017222209 cites W2079377322 @default.
- W2017222209 cites W2082971076 @default.
- W2017222209 cites W2083002938 @default.
- W2017222209 cites W2088473837 @default.
- W2017222209 cites W2091071108 @default.
- W2017222209 cites W2093963391 @default.
- W2017222209 cites W2101736945 @default.
- W2017222209 cites W2129106556 @default.
- W2017222209 cites W2129814590 @default.
- W2017222209 cites W2142946690 @default.
- W2017222209 cites W2143479296 @default.
- W2017222209 cites W2149342199 @default.
- W2017222209 cites W2156794312 @default.
- W2017222209 cites W2160093317 @default.
- W2017222209 cites W2162137989 @default.
- W2017222209 cites W2167393019 @default.
- W2017222209 cites W2171049370 @default.
- W2017222209 cites W2237099442 @default.
- W2017222209 cites W2330542183 @default.
- W2017222209 cites W2341166120 @default.
- W2017222209 cites W2397391769 @default.
- W2017222209 cites W2399180567 @default.
- W2017222209 cites W2400634023 @default.
- W2017222209 cites W2400640570 @default.
- W2017222209 cites W2400657518 @default.
- W2017222209 cites W2400716158 @default.
- W2017222209 cites W2405835754 @default.
- W2017222209 cites W2408563674 @default.
- W2017222209 cites W2410151471 @default.
- W2017222209 cites W2411367595 @default.
- W2017222209 cites W2412390506 @default.
- W2017222209 cites W2415792654 @default.
- W2017222209 cites W2416538732 @default.
- W2017222209 cites W2416909869 @default.
- W2017222209 cites W2417750580 @default.
- W2017222209 cites W241981860 @default.
- W2017222209 cites W2423914715 @default.
- W2017222209 cites W2432450393 @default.
- W2017222209 cites W2438565639 @default.
- W2017222209 cites W2470796034 @default.