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Child With Budd-Chiari Syndrome - Section 4

Child With Budd-Chiari Syndrome 

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  #31  
08-12-2009, 10:21 PM
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Re: Child With Budd-Chiari Syndrome

The acute syndrome presents with rapidly progressive: severe upper abdominal pain, jaundice, hepatomegaly (enlarged liver), ascites, elevated liver enzymes, and eventual encephalopathy. The fulminant syndrome presents early with encephalopathy and ascites. Severe hepatic necrosis and lactic acidosis may be present as well. Caudate lobe hypertrophy is often present. The majority of patients have a slower-onset form of Budd-Chiari syndrome. This can be painless. A system of venous collaterals may form around the occlusion which may be seen on imaging as a "spider's web." Patients may progress to cirrhosis and show the signs of liver failure.

An asymptomatic form may be totally silent and discovered only incidentally. It is generally not concerning.

[edit] Treatment
A minority of patients can be treated medically with sodium restriction, diuretics to control ascites, anticoagulants such as heparin and warfarin, and general symptomatic management. The majority of patients require further intervention. Milder forms of Budd-Chiari may be treated with surgical shunts to divert blood flow around the obstruction or the liver itself. Shunts must be placed early after diagnosis for best results. [5] The transjugular intrahepatic portosystemic shunt (TIPS) is similar to a surgical shunt. It accomplishes the same goal but has a lower procedure-related mortality, which has led to a growth in its popularity. Patients with stenosis or vena caval obstruction may benefit from angioplasty. [6] Limited studies on thrombolysis with direct infusion of urokinase and tissue plasminogen activator (tPA) into the obstructed vein have shown moderate success in treating Budd-Chiari syndrome; however, it is not routinely attempted.

Liver transplantation is an effective treatment for Budd-Chiari. It is generally reserved for patients with fulminant hepatic failure, failure of shunts, or progression of cirrhosis that reduces the life expectancy to 1 year. [7] Long-term survival after transplantation ranges from 69-87%. The most common complications of transplant include rejection, arterial or venous thromboses, and bleeding due to anticoagulation. Up to 10% of patients may have a recurrence of Budd-Chiari syndrome after the transplant.
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  #32  
08-13-2009, 07:40 AM
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Re: Child With Budd-Chiari Syndrome

if that kid farts the earth will be thrown off it axis and hurl into space
  #33  
08-13-2009, 08:38 AM
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Re: Child With Budd-Chiari Syndrome

Aww i really feel sorry for that child. He/she must be in so much pain :/
  #34  
11-02-2009, 01:44 PM
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Re: Child With Budd-Chiari Syndrome

What causes it and why cant they treat it?
  #35  
11-02-2009, 02:11 PM
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Re: Child With Budd-Chiari Syndrome

ouch you can tell by his face how much suffering he's going through.
poor kid.
  #36  
11-10-2009, 08:48 PM
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Re: Child With Budd-Chiari Syndrome

If you get fifteen of those cases and put them in a line and tell them to walk straight...we can have a parade
  #37  
11-12-2009, 10:52 PM
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Re: Child With Budd-Chiari Syndrome

Why arent Drs helping this poor child????
  #38  
11-17-2009, 01:27 PM
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Re: Child With Budd-Chiari Syndrome

thin,gs like that on an adult, u can take the piss, but come on, have a bit of heart, we are lucky coz we can go an get treatment at the 1st sight of trouble, this poor kid,didnt do this 2 its self, ease off on the kids, sado's
  #39  
11-17-2009, 02:03 PM
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Re: Child With Budd-Chiari Syndrome

poor kid he looks so uncomfortable
  #40  
11-17-2009, 08:30 PM
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Re: Child With Budd-Chiari Syndrome

he looks pregnant


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