- Hepatic vein obstruction
- Hepatic veno-occlusive disease
Your QuestionMy nephew has been diagnosed with Budd-Chiari syndrome. What is the treatment for this condition?
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The treatment of Budd-Chiari syndrome varies, depending on the cause of the blockage. Medical treatments may include:
- Blood-thinning (anticoagulation) medications
- Clot-busting drugs (thrombolytic treatment)
- Treatment for the liver disease, including ascites
Surgical treatments may also be considered and include:
- Angioplasty and stent placement
- Transjugular intrahepatic portosystemic shunt (TIPS)
- Venous shunt surgery
While medical therapy can be instituted for short-term, symptomatic benefit, medical therapy alone has been associated with a high 2-year mortality rate (80-85%).
You can view more detailed information regarding the medical and surgical options for treatment of Budd-Chiari syndrome by clicking here.
- Budd Chiari Syndrome. National Organization for Rare Disorders (NORD). 2007; http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Budd%20Chiari%20Syndrome. Accessed 10/30/2010.
- Dugdale DC, Longstreth GF. Hepatic vein obstruction (Budd-Chiari). MedlinePlus. 2010; http://www.nlm.nih.gov/medlineplus/ency/article/000239.htm. Accessed 10/30/2010.
- Shaffer EA. Budd-Chiari Syndrome. Merck Online Medical Library . 2007; http://www.merck.com/mmhe/sec10/ch138/ch138d.html. Accessed 10/30/2010.
- Roy PK, Choudhary A, Shojamanesh H, Bragg J, Dehadrai G, Bashir S. Budd-Chiari Syndrome: Treatment & Medication. eMedicine. 2009; http://emedicine.medscape.com/article/184430-treatment. Accessed 10/30/2010.