Τίτλος:
Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome: A comprehensive review
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Budd-Chiari syndrome (BCS) is a relatively rare clinical condition with a wide range of symptomatology, caused by the obstruction of the hepatic venous outflow. If left untreated, it has got an high mortality rate. Its management is based on a step-wise approach, depending on the clinical presentation, and includes different treatment from anticoagulation therapy up to Interventional Radiology techniques, such as transjugular intrahepatic portosystemic shunt (TIPS). TIPS is today considered a safe and highly effective treatment and should be recommended for BCS patients, including those awaiting orthotopic liver transplantation. In this review the pathophysiology, diagnosis and treatment options of BCS are presented, with a special focus on published data regarding the techniques and outcomes of TIPS for the treatment of BCS. Moreover, unresolved issues and future research will be discussed. © The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Συγγραφείς:
Inchingolo, R.
Posa, A.
Mariappan, M.
Tibana, T.K.
Nunes, T.F.
Spiliopoulos, S.
Brountzos, E.
Περιοδικό:
World Journal of Gastroenterology
Εκδότης:
Baishideng Publishing Group Co
Λέξεις-κλειδιά:
Budd Chiari syndrome; computer assisted tomography; conservative treatment; differential diagnosis; Doppler flowmetry; echography; follow up; human; laboratory diagnosis; liver angiography; liver biopsy; pathophysiology; prognosis; Review; survival factor; therapy effect; transjugular intrahepatic portosystemic shunt; treatment outcome; adverse event; Budd Chiari syndrome; diagnostic imaging; liver transplantation; liver vein; rare disease, Budd-Chiari Syndrome; Hepatic Veins; Humans; Liver Transplantation; Portasystemic Shunt, Transjugular Intrahepatic; Rare Diseases
DOI:
10.3748/WJG.V26.I34.5060
