Zhang CQ, Fu LN, Xu L, Zhang GQ, Jia T, Liu JY, Qin CY, Zhu JR. Long-term effect of stent placement in 115 patients with Budd-Chiari syndrome. World J Gastroenterol 2003; 9(11): 2587-2591 [PMID: 14606103 DOI: 10.3748/wjg.v9.i11.2587]
Corresponding Author of This Article
Chun-Qing Zhang, M.D, Department of Gastroenterology, Shandong Provincial Hospital, Jinan 250021, Shandong Province, China. chunqing9@hotmail.com
Article-Type of This Article
Clinical Research
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World J Gastroenterol. Nov 15, 2003; 9(11): 2587-2591 Published online Nov 15, 2003. doi: 10.3748/wjg.v9.i11.2587
Table 1 Clinical features and choice of management in 115 patients with Budd-Chiari Syndrome
Site of obstruction
IVC (n = 85)
HV (n = 13)
Combined (n = 17)
Symptoms
Abdominal fullness
79
13
17
Weakness
71
13
17
Abdominal pain
58
13
15
Low extremities edema
53
3
13
Gastrointestinal bleeding
9
4
8
Jaundice
5
4
7
Hepatic encephalopathy
3
2
3
Signs
Hepatomegaly
80
13
17
Splenomegaly
77
13
17
Ascites
36
10
12
Distended abdominal veins
55
3
5
Leg ulcer
21
0
3
Management
IVC stent
HV stent
IVC and HV stent
Table 2 Types of obstruction in the IVC and HV in 115 patients
Membraneous
Segmental (extent, cm)
IVC Stenosis (n = 54)
30
24 (1-7.6)
Occlusion (n = 48)
19
29 (1-7.2)
HV Stenosis (n = 11)
6
5 (1-4.5)
Occlusion (n = 19)
11
8 (1-4.0)
Table 3 Long term results of Stent placement in 97 follow up patients
IVC group
HV group
Combined group
Number of patients
75
7
15
Follow-up (months)
Mean
49
45
45
Range
7-84
9-78
9-78
Ascites
Before procedure
29
7
11
Disappeared
21
5
8
improved
7
2
3
Hepatomegaly
Before procedure
73
7
15
Disappeared
38
3
6
Improved
33
3
7
Splenomegaly
Before procedure
67
7
15
Disappeared
9
1
3
Improved
46
3
8
Abnormal liver function test
Before procedure
53
7
15
Disappeared
21
3
4
Improved
29
3
9
Employed or housekeeping
68
6
14
Stent occlusion
3
1
1
Table 4 Analysis of factors influencing stent occlusion in 112 stents of 97 patients
Number of stents
Number of occlusion
P valve
Total
112
5
Site of stents
IVC
90
3
HV
22
2
< 0.05
Degrees of obstruction
Stenosis
60
2
Occlusion
52
3
> 0.05
Types of obstructon
Membraneous
58
2
Segmental
54
3
> 0.05
Anticoagulants at least 6 mo
Yes
87
2
No
25
3
< 0.05
Citation: Zhang CQ, Fu LN, Xu L, Zhang GQ, Jia T, Liu JY, Qin CY, Zhu JR. Long-term effect of stent placement in 115 patients with Budd-Chiari syndrome. World J Gastroenterol 2003; 9(11): 2587-2591