Budd-Chiari Syndrome: Shunt or Transplant?

نویسنده

  • Marshall J. Orloff
چکیده

mosis. In our experience, roughly 10% of patients will have low volume amylase-rich fluid draining via the drains. Over 85% of these low volume pancreatic fistulas will heal with conservative management. While pancreatic fistula has not disappeared as a postoperative complication, it is certainly no longer the dreaded and feared complication that it was several decades ago. As additional experience and data are gathered, perhaps one particular technique of pancreatic reanastomosis will assume priority. Is stenting necessary for a successful pancreatic anastomosis Am. Duct to mucosa isolated Roux loop pancreaticojejunostomy as an improved anasto-mosis after resection of the pancreas. Surg. Gynecol. (1991). Fibrin glue sealing of pancreatic injuries, resections and anastomoses. Am. D. W. (1991). Are pancreatoenteric anastomoses improved by duct-to-mucosa sutures Am. pancreaticoduodenal resection for ampullary carcino-ma: Experience with thirty-one cases. Surgery, 100, 489-493. prospective randomized trial of pancreaticogastrost-omy versus pancreaticojejunostomy after pancreatico-duodenectomy. octreotide in the prevention of postoperative complications following pancreatic resection. Am. of octreotide in the prevention of complications of elective pancreatic surgery. Brit. of octreotide in the prevention of pancreatic fistula after elective pancreatic resections: A prospective, controlled, randomized clinical trial. Surgery, 117, 26-31. Randomized controlled multicenter study of the prevention of complications by octreotide in patients undergoing surgery for chronic pancreatitis. Brit. J.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Budd-Chiari Syndrome Caused by TIPS Malposition: A Case Report

Budd-Chiari syndrome refers to hepatic pathology secondary to diminished venous outflow, most commonly associated with venothrombotic disease. Clinically, patients with Budd-Chiari present with hepatomegaly, ascites, abdominal distension, and pain. On imaging, Budd-Chiari syndrome is hallmarked by occluded IVC and or hepatic veins, caudate lobe enlargement, heterogeneous liver enhancement, intr...

متن کامل

Budd-Chiari Syndrome: Shunt or Transplant?

(1984) Diagnosis and clinical features of small hepatocellular carcinoma with emphasis on the utility of real-time ultrasonography: a study in 51 Clinical features and prognosis of hepatocellular carcinoma with reference to serum alpha-fetoprotein levels. We have analyzed the indications and results of shunt operation versus orthotopic liver transplantation (OLT) in 22 patients with Budd-Chiari...

متن کامل

Favourable medium term outcome following hepatic vein recanalisation and/or transjugular intrahepatic portosystemic shunt for Budd Chiari syndrome.

BACKGROUND We report our experience with management of patients with Budd Chiari syndrome over the past two decades. In 1996 we described a novel approach involving recanalisation of hepatic veins by combined percutaneous and transvenous approaches. This was incorporated into an algorithm published in 1999 in which our preferred treatment for all cases of Budd Chiari syndrome with short segment...

متن کامل

Budd-Chiari syndrome treated with transjugular intrahepatic portosystemic shunt.

Transjugular intrahepatic portosystemic shunt (TIPS) is a new treatment modality in patients of intractable ascites with Budd-Chiari syndrome. We report a young lady who presented with intractable ascites and encephalopathy and diagnosed to have Budd-Chiari syndrome. She was treated with TIPS and on follow-up after 12 months she is free of ascites, encephalopathy and able to perform her daily w...

متن کامل

Transjugular intrahepatic portosystemic shunt (TIPSS) for Budd Chiari syndrome.

We report a four year old boy who presented with liver failure secondary to anti-thrombin III deficiency related Budd Chiari syndrome. He was treated with TIPSS (transjugular intrahepatic porto systemic shunt) which reversed the encephalopathy, normalised the liver function and improved growth, pre-empting the need for a liver transplantation. This is the first reported case of TIPSS in a child...

متن کامل

Budd-Chiari Syndrome Transplant, Meso-Atrial Shunt or Combined Portocaval Shunt With Cavo-Atrial Shunt

apy for esophageal varices in men with alcoholic liver disease: a randomized, single blind, multicenter clinical trial. New Engl.apy for esophageal varices: long-term results of a single center trial. cirrhotics selected by endoscopic criteria a multicenter randomized controlled trial. (1992) Treatment of Budd-Chiari syndrome due to inferior oena caoa occlusion by combined portal and oena caval...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • HPB Surgery

دوره 11  شماره 

صفحات  -

تاریخ انتشار 1998