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Budd-Chiari syndrome: illustrated review of current management
John D Horton1, Francisco L San Miguel, Fernando Membreno
1William Beaumont Army Medical Center, Department of Surgery, El Paso, TX 79920-5001, USA. John.Horton2@amedd.army.mil
Insights
Budd-Chiari syndrome (BCS) involves hepatic venous outflow obstruction. This review covers BCS presentations, management options including interventional and surgical approaches, and patient prognosis, supported by clinical images.
Area of Science:
- Hepatology
- Vascular Medicine
- Gastroenterology
Background:
- Budd-Chiari syndrome (BCS) is defined by obstruction of hepatic venous outflow.
- It presents with diverse causes and clinical manifestations.
- Understanding BCS is crucial for effective patient management.
Purpose of the Study:
- To comprehensively review the current literature on Budd-Chiari syndrome.
- To detail the presentation, management, and prognosis of BCS.
- To emphasize interventional and surgical treatment strategies.
Main Methods:
- Literature review of current research on Budd-Chiari syndrome.
- Discussion of medical, interventional, and surgical management options.
- Inclusion of images to illustrate clinical aspects.
Main Results:
- BCS has a wide spectrum of etiologies and presentations.
- Various medical, interventional, and surgical treatments are available.
- Prognosis depends on timely and appropriate management.
Conclusions:
- Effective management of Budd-Chiari syndrome requires a multidisciplinary approach.
- Interventional and surgical options are key components of BCS treatment.
- Further research can refine understanding and improve outcomes for BCS patients.
Abstract:
Budd-Chiari syndrome (BCS) is characterized by hepatic venous outflow obstruction at any level from the small hepatic veins to the atriocaval junction. BCS is a complex disease with a wide spectrum of aetiologies and presentations. This article reviews the current literature with respect to presentation, management and prognosis of the disease. Medical, interventional and surgical management of BCS is discussed. Particular attention is paid to interventional and surgical aspects of management. The review is augmented by images, which provide a clinical corollary to the text.
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