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Is surgical portosystemic shunt the treatment of choice in Budd-Chiari Syndrome ?Price: €10,00 |
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Introduction
Budd-Chiari syndrome (BCS) consists of hepatic
venous outflow obstruction and its manifestations,
regardless of the cause and regardless of the level of
obstruction from the small hepatic veins to the entrance
of the right atrium (1). Outflow obstruction caused by
hepatic veno-occlusive disease and cardiac disorders are
excluded. Although the cause, the mechanism and the
nature of the obstacle are not given, the term Budd-
Chiari Syndrome should be retained according to the
European Group for the Study of Budd-Chiari
Syndrome (The Prague nomenclature for BCS) (1).
Clinical presentation is variable depending on the
degree and the speed of venous obstructions (2). Its presenting
symptoms vary widely from mild ascites with
slightly elevated liver function easily controlled by
diuretics and anticoagulants, to acute liver failure requiring
liver transplantation.
BCS is considered asymptomatic when there is neither
abdominal pain, ascites nor hepatomegaly, jaundice,
leg oedema, encephalopathy or gastro-intestinal bleeding
nor any history of them.
Based partly on our personal experience (3), manifestations
and duration of BCS should permit to classify... [Product Details...] |
Acta Gastro-Enterologica Belgica is indexed in NCBI/PubMed.
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica
Printed by Universa Press, Wetteren, Belgium. ©vzw/asbl Acta Gastro-Enterologica Belgica