Related Experiment Video
Updated: Jul 16, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Hepatic vein stenting for Budd-Chiari syndrome
A M Witte1, L J Kool, R Veenendaal
1Department of Gastroenterology, University Hospital Leiden, The Netherlands.
The American Journal of Gastroenterology
|March 1, 1997
Summary
Hepatic vein stenting effectively treated Budd-Chiari syndrome with ascites in two patients. This minimally invasive procedure relieved venous outflow obstruction, resolving ascites and reducing diuretic needs.
Area of Science:
- Interventional Cardiology
- Hepatology
- Vascular Surgery
Background:
- Budd-Chiari syndrome often presents with intractable ascites due to hepatic venous outflow obstruction.
- Severe hepatic vein stenosis and occlusion pose significant therapeutic challenges.
Observation:
- Two patients with Budd-Chiari syndrome and severe hepatic vein stenosis experienced intractable ascites.
- Conventional therapies were insufficient to manage the ascites.
Findings:
- Percutaneous transluminal angioplasty and metallic stenting of the stenotic hepatic vein normalized the pressure gradient.
- Both patients experienced complete resolution of ascites and a significant reduction in diuretic requirements.
Implications:
- Hepatic vein stenting is a feasible and effective treatment for Budd-Chiari syndrome.
- This intervention may help patients avoid or delay the need for shunt surgery or liver transplantation.
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:22Portal Hypertension
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...