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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.
Indian Pediatrics
|November 15, 2018
Summary
Balloon angioplasty shows good results for children with Budd-Chiari syndrome. Surgical options like portocaval shunts have lower survival rates, making angioplasty the preferred initial treatment.
Area of Science:
- Pediatric Hepatology
- Interventional Radiology
- Pediatric Surgery
Background:
- Budd-Chiari syndrome (BCS) is a rare condition in children characterized by hepatic venous outflow obstruction.
- Effective diagnostic and therapeutic strategies are crucial for improving outcomes in pediatric BCS.
Purpose of the Study:
- To evaluate diagnostic methods and treatment outcomes for pediatric Budd-Chiari syndrome.
- To compare the efficacy of balloon angioplasty versus surgical management in children with BCS.
Main Methods:
- Retrospective analysis of 25 pediatric patients diagnosed with Budd-Chiari syndrome.
- Utilized advanced imaging techniques for diagnosis.
- Patients were treated with either balloon angioplasty or surgical interventions (e.g., portocaval shunt).
Main Results:
- Balloon angioplasty was performed in 21 patients, yielding good medium- to long-term outcomes in 17.
- Surgical management, specifically portocaval shunt, was attempted in 4 patients, with only one survivor.
- Imaging played a key role in the diagnostic workup and management planning.
Conclusions:
- Balloon angioplasty demonstrates a satisfactory outcome for acute Budd-Chiari syndrome in pediatric patients.
- Surgical therapy, while an option for treatment failures, is associated with less rewarding outcomes.
- Interventional radiology techniques like balloon angioplasty are highly effective for pediatric BCS.
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