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[Surgical treatment of Budd-Chiari syndrome and veno-occlusive disease]
1Service de chirurgie, Centre hospitalier universitaire vaudois, Lausanne.
Helvetica Chirurgica Acta
|May 1, 1992
Insights
This study reviews surgical indications for Budd-Chiari syndrome and veno-occlusive disease in 5 patients. Liver transplantation is now a key treatment option for these conditions.
Area of Science:
- Hepatology
- Vascular Surgery
- Gastroenterology
Context:
- Budd-Chiari syndrome and veno-occlusive disease are rare conditions affecting liver blood flow.
- Surgical interventions were historically employed before liver transplantation became widely available.
- This review covers patient data from 1984-1989.
Purpose:
- To retrospectively analyze the surgical indications for Budd-Chiari syndrome and veno-occlusive disease.
- To provide historical context for surgical management prior to liver transplantation.
Summary:
- Five patients with Budd-Chiari syndrome or veno-occlusive disease underwent surgical procedures including porto-caval shunts, Warren distal spleno-renal shunt, meso-atrial shunt, and Le Veen peritoneo-jugular shunt.
- The study details the specific surgical approaches used.
- The review focuses on the rationale behind choosing surgery for these patients.
Impact:
- Highlights the evolution of treatment strategies for liver vascular diseases.
- Informs understanding of historical surgical approaches in managing Budd-Chiari syndrome and veno-occlusive disease.
- Provides a basis for comparing surgical outcomes with modern liver transplantation therapies.
Abstract:
We operated 5 patients with the Budd-Chiari syndrome or veno-occlusive disease between 1984 and 1989 (2 porto-caval shunts, one Warren distal spleno-renal shunt, one meso-atrial shunt and one Le Veen peritoneo-jugular shunt). As liver transplantation is now part of the therapeutic armamentarium for these conditions, this paper reviews retrospectively the indications for surgery in these 5 patients.