Modulation of hepatic perfusion did not improve recovery from hepatic outflow obstruction

Hepatic Venous Outflow Obstruction: Suggestion of a New Classification

Hepatic venous outflow obstruction (HVOO) is common in developing countries. It is a serious condition that clinically manifests with ascites from sinusoidal hypertension, and carries the risk of high mortality or development of liver cirrhosis. In the past, the eponym Budd–Chiari Syndrome (BCS) was used synonymously for HVOO. In theWest, hepatic vein (HV) thrombosis caused by prothrombotic dis...

Hepatic vein obstruction is the most common type of hepatic venous outflow obstruction regardless of socioeconomic status

BACKGROUND Data regarding role of socioeconomic status (SES) as etiology and site of involvement of veins in hepatic venous outflow tract obstruction (HVOTO) is scarce and only described from Nepal. We prospectively evaluated the role of SES in patients with HVOTO. METHODS 70 consecutive patients (41 females; mean age 29, range 3-65 years) with HVOTO were studied. Their clinical history, soci...

Extra hepatic portal venous obstruction

Management of Hepatic Cholestasis

Hepatic cholestasis is characterized by elevated alkaline phosphatase and gama - glutamyl transpeptidase levels which is then followed by conjugated hyperbilirubinemia. It is classified into intrahepatic and extrahepatic cholestasis. Intrahepatic cholestasis indicates hepatocellular dysfunction or the presence of an obstructive lesion in intrahepatic bile ducts distal to biliary canalicular sy...

Current role of portosystemic shunt surgery in the management of hepatic venous outflow obstruction.

BACKGROUND Hepatic venous outflow obstruction (HVOO) is a rare disorder that occurs predominantly due to a hypercoagulable state. The syndrome may result from hepatic vein obstruction, inferior vena cava obstruction or a combination of both and manifests with post-sinusoidal portal hypertension. The presentation may be fulminant with poor prognosis or as either acute, subacute or chronic forms ...