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Pediatric Budd-Chiari Syndrome: A Case Series
Rajeev Redkar1, Anant Bangar2, Varun Hathiramani2
1Department of Pediatric Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India. Correspondence to: Dr Rajeev G Redkar, Consultant Pediatric Surgeon, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India. rajeev.redkar@gmail.com.
Objective:
To study the diagnostic methods and treatment outcomes in children with Budd- Chiari syndrome.
Methods:
Case records of 25 patients with Budd-Chiari syndrome were evaluated retrospectively. These patients were investigated with imaging techniques and underwent balloon angioplasty or surgical management.
Results:
21 patients underwent balloon angioplasty, of which 17 had good medium- to long-term results, while only one out of four patients who underwent a portocaval shunt survived.
Conclusions:
The balloon angioplasty has satisfactory outcome in the treatment of acute Budd-Chiari syndrome. In failed cases, the surgical therapy may be attempted, but the outcomes do not appear rewarding.
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