Endovascular intervention versus traditional bypass for treatment of Budd-Chiari syndrome / 中华外科杂志
Chinese Journal of Surgery
;
(12): 423-426, 2002.
Article
in Chinese
| WPRIM
| ID: wpr-264804
ABSTRACT
<p><b>OBJECTIVE</b>To retrospectively compare combined endovascular intervension with traditional bypass operation for the treatment of Budd-Chiari syndrome (BCS).</p><p><b>METHODS</b>From July 1989 to June 2001, 49 patients undergoing surgery for BCS were studied. 32 operations were performed by traditional bypass (from superior mesenteric vein or inferior vena cava to right auricle), and 17 by combined endovascular operation.</p><p><b>RESULTS</b>The data demonstrated a high incidence of perioperative complications, longer hospital stay, and expensive cost in the former group than in the latter group (P < 0.01). The mid-term effects were significantly better in the latter than in the former (P < 0.05). Severe complications occurred in the bypass group included hepatoencephalopathy, obtinacy ascites, cardiac dysfunction, and embolization of vascular grafts.</p><p><b>CONCLUSIONS</b>Combined endovascular intervention and shunting are the treatment of choice for BCS, with different combination according to its clinical type. This approach is simple, safe, effective, and economic.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Vena Cava, Inferior
/
Follow-Up Studies
/
Budd-Chiari Syndrome
/
Intraoperative Complications
/
Length of Stay
/
Mesenteric Veins
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2002
Type:
Article
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