[Endovascular intervention versus traditional bypass for treatment of Budd-Chiari syndrome].
OBJECTIVE
To retrospectively compare combined endovascular intervension with traditional bypass operation for the treatment of Budd-Chiari syndrome (BCS).


METHODS
From July 1989 to June 2001, 49 patients undergoing surgery for BCS were studied. 32 operations were performed by traditional bypass (from superior mesenteric vein or inferior vena cava to right auricle), and 17 by combined endovascular operation.


RESULTS
The data demonstrated a high incidence of perioperative complications, longer hospital stay, and expensive cost in the former group than in the latter group (P < 0.01). The mid-term effects were significantly better in the latter than in the former (P < 0.05). Severe complications occurred in the bypass group included hepatoencephalopathy, obtinacy ascites, cardiac dysfunction, and embolization of vascular grafts.


CONCLUSIONS
Combined endovascular intervention and shunting are the treatment of choice for BCS, with different combination according to its clinical type. This approach is simple, safe, effective, and economic.
Xu
Bin
B
Department of General Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China. xubin@smmu.edu.en
Zhou
Yingqi
Y
Jing
Zaiping
Z
Cao
Guisong
G
Zhong
Jianping
J
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007902:Length of Stay; D008297:Male; D008642:Mesenteric Veins / Q000601:surgery; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000601:surgery