Budd-Chiari 症候群管理: 灯和阴影

• 作者: Andrea Mancuso
• 来源期刊: 世界肝病学杂志：英文版（电子版）
• 学科: 医学
• 关键词: BUDD-CHIARI SYNDROME MANAGEMENT LIVER TRANSPLANTATION
• 年，卷（期）: 2011,（10）
• 页码范围: 262-264
• 页数: 3页
• 分类号: R575

摘要

Budd-Chiari syndrome (BCS) is a rare disease whose management should follow a step by step strategy.Anticoagulation and medical therapy should be the first line treatment.Revascularization or TIPS are indicated in case of no response to medical therapy.OLT should be indicated as a rescue therapy and anticoagulation be started soon after OLT.However,no clear indica-tion can actually be given about the timing of different treatments.Moreover,there is some concern about treatment of some subgroup of patients,especially regarding the risk of recurrence after liver transplanta-tion.The topic of this paper is to critically review the actual knowledge of BCS management.